Individual
DAVID ALEJANDRO RICO MORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-8445
(313) 916-9434
Mailing address
1118 N CAMPBELL RD APT 221, ROYAL OAK, MI 48067-1541
(786) 556-2065
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
104807
GA
207L00000X
Anesthesiology Physician
4301108009
MI
Other
Enumeration date
07/25/2015
Last updated
05/05/2026
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