Individual
JULES E. CONSTANTINOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
HENRY FORD HEALTH SYSTEM, 3031 WEST GRAND BLVD., DETROIT, MI 48202
(313) 916-2454
Mailing address
HENRY FORD HEALTH SYSTEM, 3031 WEST GRAND BLVD., DETROIT, MI 48202
(313) 916-2454
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301077010
MI
2084N0400X
Neurology Physician
Primary
4301077010
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130H264490
BLUE CROSS-BLUE CROSS
—
05
—
425846710
—
MI
01
—
JC077010
CHAMPUS-CHAMPUS
—
Enumeration date
12/01/2006
Last updated
09/08/2014
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