Organization
DETROIT CARDIOVASCULAR CENTER DCC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OMAR ALI MD (OWNER)
(248) 213-6466
Entity
Organization
Contact information
Practice address
4160 JOHN R ST, SUITE 622, DETROIT, MI 48201-2020
(248) 213-6466
(248) 769-0399
Mailing address
4160 JOHN R ST, SUITE 622, DETROIT, MI 48201-2020
(248) 213-6466
(248) 769-0399
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
4301101627
MI
Other
Enumeration date
04/18/2015
Last updated
04/18/2015
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