Individual
SHARON RAYMOND-FORDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(800) 653-6568
Mailing address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(800) 653-6568
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
57.024124
OH
207RP1001X
Pulmonary Disease Physician
Primary
4301504116
MI
Other
Enumeration date
07/17/2014
Last updated
06/14/2024
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