Organization
EASTLAKE CARDIOVASCULAR PC
Active
Organization
EASTLAKE CARDIOVASCULAR PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE B GHANEM MD (PRESIDENT)
(586) 498-0440
Entity
Organization
Contact information
Practice address
24211 LITTLE MACK AVE, ST CLAIR SHORES, MI 48080-1190
(586) 498-0440
(586) 498-0401
Mailing address
24211 LITTLE MACK AVE, ST CLAIR SHORES, MI 48080-1190
(586) 498-0440
(586) 498-0401
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
MI
Other
Enumeration date
05/18/2006
Last updated
12/01/2020
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