Healthcare Provider Details
I. General information
NPI: 1033172945
Provider Name (Legal Business Name): MICHIGAN HEART GROUP PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/11/2006
Last Update Date: 09/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4600 INVESTMENT DR SUITE 200
TROY MI
48098-6365
US
IV. Provider business mailing address
4600 INVESTMENT DR SUITE 200
TROY MI
48098-6365
US
V. Phone/Fax
- Phone: 248-267-5050
- Fax: 248-267-9076
- Phone: 248-267-5050
- Fax: 248-267-9076
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RC0001X |
| Taxonomy | Clinical Cardiac Electrophysiology Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RI0011X |
| Taxonomy | Interventional Cardiology Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RC0000X |
| Taxonomy | Cardiovascular Disease Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
STEVEN
L
ALMANY
Title or Position: PHYSICIAN
Credential: MD
Phone: 248-267-5050