Healthcare Provider Details

I. General information

NPI: 1407939069
Provider Name (Legal Business Name): DOWNRIVER OBSTETRICS AND GYNECOLOGY PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1651 KINGSWAY CT STE A
TRENTON MI
48183-1959
US

IV. Provider business mailing address

1651 KINGSWAY CT STE A
TRENTON MI
48183-1959
US

V. Phone/Fax

Practice location:
  • Phone: 734-671-2110
  • Fax: 734-671-5344
Mailing address:
  • Phone: 734-671-2110
  • Fax: 734-671-5344

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SALVATORE J FINAZZO
Title or Position: DIRECTOR
Credential: DO
Phone: 734-671-2110