Individual
DR. GREGORY DAVID HAZERGIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
20200 OUTER DR, DEARBORN, MI 48124-2634
(313) 624-8417
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(313) 874-4806
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5101019695
MI
207RC0000X
Cardiovascular Disease Physician
Primary
5101019695
MI
207UN0901X
Nuclear Cardiology Physician
5101019695
MI
Other
Enumeration date
05/09/2012
Last updated
12/20/2024
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