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NPI Code Detail

MEDICARE: ERIC JOSEPH DENHA

MEDICARE:   ERIC JOSEPH DENHA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RG0100XGastroenterology Physician4301516733MI
2207R00000XInternal Medicine Physician4301516733MI
3390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1346879541
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIC JOSEPH DENHA
Provider Business Mailing Address
First Line : 400 MACK AVE
Second Line :
City : DETROIT
State : MI
Zip : 48201-2136
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3990 JOHN R ST
Second Line :
City : DETROIT
State : MI
Zip : 48201-2018
Country : US
Telephone Number : 313-745-8040
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2020
Last Update Date : 03/13/2026

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Directions to “ ERIC JOSEPH DENHA ” Practice Location

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