Individual
KATHLEEN ESTRADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2799 WEST GRAND BOULEVARD, MEDICAL EDUCATION DEPARTMENT HENRY FORD HOSPITAL, DETROIT, MI 48202
(313) 916-1888
Mailing address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-9100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301507379
MI
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
4301507379
MI
Other
Enumeration date
04/05/2017
Last updated
10/06/2023
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