Individual
DR. HARRY JAMES ARETAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15855 19 MILE RD, EMERGENCY MEDICINE DEPARTMENT, CLINTON TOWNSHIP, MI 48038-3504
(586) 263-2601
(586) 263-2589
Mailing address
38935 ANN ARBOR ROAD, CREDENTIALING/PAYER CONTRACTING SERVICES, LIVONIA, MI 48150-3397
(734) 632-0175
(734) 632-0182
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0101243542
VA
207P00000X
Emergency Medicine Physician
Primary
4301041797
MI
207P00000X
Emergency Medicine Physician
MD433111
PA
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
4301041797
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11270931
CAQH
—
Enumeration date
01/03/2006
Last updated
05/27/2014
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