Organization
PEDIATRIC CARDIOLOGY OF SOUTHEASTREN MICHIGAN, PLLC
Active
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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