Healthcare Provider Details

I. General information

NPI: 1922056829
Provider Name (Legal Business Name): CYNTHIA K AARON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 02/13/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4160 JOHN R ST SUITE 616
DETROIT MI
48201-2020
US

IV. Provider business mailing address

4160 JOHN R ST SUITE 616
DETROIT MI
48201-2020
US

V. Phone/Fax

Practice location:
  • Phone: 313-993-8791
  • Fax:
Mailing address:
  • Phone: 313-993-8791
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207PT0002X
TaxonomyMedical Toxicology (Emergency Medicine) Physician
License Number4301084343
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: