Individual provider · NPI-1

Heather N Abraham, MD

Internal Medicine · Troy, MI

NPI number1154616985
StatusActive
Last updated in NPPESMay 23, 2016

Details

NPI
1154616985
Entity type
Individual (NPI-1)
Name
Heather N Abraham
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Jun 9, 2011
Last updated
May 23, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine4301098488MIYes
208000000X Pediatrics4301098488MI

Practice location

1560 E Maple Rd
Suite 400-Credentialing
Troy, MI 48083-1138

Phone 313-745-4525 · Fax 313-966-7305

Mailing address

50 E Canfield St
Detroit, MI 48201-1804

Phone 313-745-4525 · Fax 313-966-7305

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