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Individual

SHIRI LEVY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
HENRY FORD HEALTH SYSTEM, 2799 WEST GRAND BOULEVARD, DETROIT, MI 48202
(313) 916-9106
(313) 916-1249
Mailing address
HENRY FORD HEALTH SYSTEM, 2799 WEST GRAND BOULEVARD, DETROIT, MI 48202
(313) 916-9106

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301076042
MI
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MI43076042
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
473177410
MI
01
700H262220
BLUE CROSS-BLUE CROSS
01
SL076042
COMMERCIAL-COMMERCIAL NUMBER
Enumeration date
12/01/2006
Last updated
02/08/2018
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