Individual
CRISTINA TITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1100 E MICHIGAN AVE STE 100, JACKSON, MI 49201-1800
(517) 205-3345
Mailing address
2799 W GRAND BLVD, DEPT OF CARDIOLOGY, DETROIT, MI 48202-2608
(313) 916-2966
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301082141
MI
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
4301082141
MI
207RC0000X
Cardiovascular Disease Physician
4301082141
MI
Other
Enumeration date
05/08/2007
Last updated
06/22/2020
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