Individual
DOMINIK STAROSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
HENRY FORD HOSPITAL, 2799 W. GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-1888
Mailing address
2799 W GRAND BLVD, K15 PULMONARY/CRITICAL CARE, DETROIT, MI 48202-2608
(313) 986-8713
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301090935
MI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
4301090935
MI
207RP1001X
Pulmonary Disease Physician
Primary
4301090935
MI
Other
Enumeration date
07/17/2007
Last updated
11/16/2022
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