Jelica Maze is a Cardiovascular Disease in Detroit, Michigan. Jelica Maze practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Jelica Maze is 1811162704. The last update date is 2023-11-09.
Jelica Maze's current location address is Po Box 781076, Detroit, Michigan. You can contact this provider via phone number 3175284800 and fax number 3178651479. The mailing address for Jelica Maze is Po Box 781076, Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jelica Maze |
|---|---|
| Address | Po Box 781076, Detroit, Michigan |
| Phone Number | 3175284800 |
| Fax Number | 3178651479 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1811162704 |
|---|---|
| Provider Enumeration Date | 2008-04-23 |
| Last Updated Date | 2023-11-09 |
Provider Mailing Address Detail
| Address | Po Box 781076 |
|---|---|
| City | Detroit |
| State | Michigan (MI) |
| Post Code | 482781076 |
| Phone Number | 3175284800 |
| Fax Number | 3178651479 |
Provider's Primary Taxonomy Detail
| Speciality | Cardiovascular Disease |
|---|---|
| Taxonomy | 207Rc0000X |
| Licence No | MD445339 |
|
Definition: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1124399605 | IL | BCBS GROUP | |
| 36132452 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jelica Maze by the Centers for Medicare & Medicaid Services?
The Jelica Maze has been issued the NPI (National Provider Identifier) 1811162704 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Jelica Maze is located?
The Jelica Maze is situated at the following address: Po Box 781076, Detroit, MI, 482781076.
What is the Jelica Maze's specialty and taxonomy code?
The Jelica Maze's specialty is Cardiovascular Disease, and the corresponding taxonomy code is 207Rc0000X.
When did the Jelica Maze receive its 1811162704?
The Jelica Maze was issued its 1811162704 on 2008-04-23, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Jelica Maze last refreshed?
The information related to the Jelica Maze, including its address, specialty, and other relevant details, was last updated on 2023-11-09.