Healthcare Provider Details

I. General information

NPI: 1538584495
Provider Name (Legal Business Name): ARK CARDIOVASCULAR & ARRHYTHMIA CENTER PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2014
Last Update Date: 05/12/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6050 GREENFIELD RD SUITE 101
DEARBORN MI
48126-6004
US

IV. Provider business mailing address

6050 GREENFIELD RD SUITE 101
DEARBORN MI
48126-6004
US

V. Phone/Fax

Practice location:
  • Phone: 313-945-9000
  • Fax: 313-945-7500
Mailing address:
  • Phone: 313-945-9000
  • Fax: 313-945-7500

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number1639389323
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number1598879496
License Number StateMI

VIII. Authorized Official

Name: JOANNA SATTER
Title or Position: OFFICER
Credential: MD
Phone: 313-945-9000