William R Back in Garden City - Cardiovascular Disease

William R Back - NPI 1720019383

William R Back is a Cardiovascular Disease in Garden City, Michigan. William R Back practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for William R Back is 1720019383. The last update date is 2011-04-07.

William R Back's current location address is 30626 Ford Rd, Garden City, Michigan. You can contact this provider via phone number 7342619211 and fax number 7342618537. The mailing address for William R Back is 30626 Ford Rd, Garden City, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name William R Back
Address 30626 Ford Rd, Garden City, Michigan
Phone Number 7342619211
Fax Number 7342618537
Sole Proprietor N
Credentials DO

NPI Number Detail

NPI Number 1720019383
Provider Enumeration Date 2006-07-05
Last Updated Date 2011-04-07

Provider Mailing Address Detail

Address 30626 Ford Rd
City Garden City
State Michigan (MI)
Post Code 481351870
Phone Number 7342619211
Fax Number 7342618537

Provider's Primary Taxonomy Detail

Speciality Cardiovascular Disease
Taxonomy 207Rc0000X
Licence No WB006125
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4591495 MI --

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FAQs about William R Back

What is the unique 10-digit identification code issued to William R Back by the Centers for Medicare & Medicaid Services?

The William R Back has been assigned the NPI (National Provider Identifier) 1720019383 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Where is the William R Back located?

The William R Back is located at 30626 Ford Rd, Garden City, MI 481351870.

What is the William R Back's specialty and taxonomy code?

The William R Back's specialty is Cardiovascular Disease, and the corresponding taxonomy code is 207Rc0000X.

When did William R Back receive its 1720019383 assignment?

The William R Back was assigned its 1720019383 on 2006-07-05, which is the date when this unique identifier was issued to the organization.

As of what date was the information pertaining to William R Back, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to William R Back, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-04-07.

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