Organization
GREAT LAKES PEDIATRIC CARDIOLOGY PLLC
Active
Other names
Great Lakes Pediatric Cardiology, PLLC, Great Lakes Pediatric Cardiology
Organization subpart
No
Provider details
NPI number
Authorized official
ISMAEL GONZALEZ RANGEL MD (PEDIATRIC CARDIOLOGIST)
(361) 228-5103
Entity
Organization
Contact information
Practice address
43200 DEQUINDRE RD STE 105, STERLING HEIGHTS, MI 48314-1707
(248) 780-9490
Mailing address
43200 DEQUINDRE RD STE 105, STERLING HEIGHTS, MI 48314-1707
(248) 780-9490
(248) 282-0851
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
—
—
Other
Enumeration date
05/11/2023
Last updated
06/29/2023
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