HALO MEDICAL GROUP PLLC NPI 1750604526

NPI Information

HALO MEDICAL GROUP PLLC is a family nurse practitioner in Detroit, MI. HALO MEDICAL GROUP PLLC NPI is 1750604526. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Heart And Vascular Institute.

The provider's business location address is:

4160 JOHN R ST
SUITE 510
DETROIT, MI
ZIP 48201
Phone: (313) 993-7777
Fax: (313) 993-2563

The provider's authorized official is Mahir Darrar Elder .
The authorized official title is Cardiologist and has the following contact phone number (313) 993-7777.

The CLIA number assigned to this NPI record is 23D2006205 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/9/2010 and was last updated on 7/27/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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