Organization
PEDIATRIC CARDIOLOGY OF SOUTHEASTREN MICHIGAN, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSSITZA PROKOPIEVA PIRONKOVA MD (OWNER)
(248) 335-8500
Entity
Organization
Contact information
Practice address
43380 WOODWARD AVE STE 105, BLOOMFIELD HILLS, MI 48302-5050
(248) 335-8500
(248) 940-2949
Mailing address
43380 WOODWARD AVE STE 105, BLOOMFIELD HILLS, MI 48302-5050
(248) 335-8500
(248) 940-2949
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316244304
—
MI
Enumeration date
06/14/2019
Last updated
06/14/2019
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