Individual
HEITOR SMILJANIC CARRIJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6071 W. OUTER DRIVE, DETROIT, MI 48235
(313) 745-6047
(313) 745-6047
Mailing address
6071 W. OUTER DRIVE, DETROIT, MI 48235
(313) 745-6047
(313) 745-6047
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4351051640
MI
Other
Enumeration date
06/22/2023
Last updated
08/14/2023
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