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General NPI Number Information
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NPI Number | 1851310718
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Entity Type | Individual
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Provider Name | DIMITRIOS APOSTOLOU M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 07/14/2010
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Provider Practice Location Address
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Address Line | 44555 WOODWARD AVE SUITE 307
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City | PONTIAC
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State | MI
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Zip | 48341-5031
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Country | US
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Telephone | 248-858-3939
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Fax | 248-858-3844
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Provider Business Mailing Address
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Address Line | 44555 WOODWARD AVE SUITE 307
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City | PONTIAC
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State | MI
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Zip | 48341-5031
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Country | US
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Telephone | 248-858-3939
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Fax | 248-858-3844
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | 4301055615
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License Number State | MI
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