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Herik Rodrigo Acosta Gonzalez, MD
Student in an Organized Health Care Education/Training Program in Southfield, Michigan
NPI 1174253025

Herik Rodrigo Acosta Gonzalez is a Student in an Organized Health Care Education/Training Program based in Southfield, MI. Herik Rodrigo Acosta Gonzalez practices in Southfield, MI and has the professional credentials of MD. The NPI Number for Herik Rodrigo Acosta Gonzalez is 1174253025 and holds a License No. (Michigan).

The current practice location address for Herik Rodrigo Acosta Gonzalez is 22250 Providence Dr. #7Pmb Suite 703A, Southfield, MI and can be reached out via phone at 248-849-5862. You can also correspond with Herik Rodrigo Acosta Gonzalez through the mailing address at 22250 PROVIDENCE DRIVE, SOUTHFIELD, MI - 48075-4818 (mailing address contact number: 248-849-5862).

Location: 22250 Providence Dr. #7Pmb Suite 703A, Southfield, MI, 48075-4818
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174253025
Provider Name
Herik Rodrigo Acosta Gonzalez
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
22250 Providence Dr. #7Pmb Suite 703A, Southfield, MI, 48075-4818
Phone Number
248-849-5862
Fax Number
Provider Enumeration Date
06/14/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
22250 Providence Dr. #7Pmb Suite 703A
City
Southfield
State
Michigan
Zip
48075
Phone Number
248-849-5862
Fax Number
person
Provider Business Mailing Address Details
Address
22250 Providence Dr. #7Pmb Suite 703A
City
Southfield
State
Michigan
Zip
48075
Phone Number
248-849-5862
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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