Individual
DR. KRISSEDA S SOLOMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
18101 OAKWOOD BLVD, EMERGENCY DEPT, DEARBORN, MI 48123-4089
(313) 593-8780
(313) 436-2864
Mailing address
38935 ANN ARBOR RD, LIVONIA, MI 48150-3397
(734) 632-0175
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
—
—
207P00000X
Emergency Medicine Physician
Primary
4301084021
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11726367
CAQH
—
Enumeration date
03/16/2007
Last updated
03/04/2013
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