Provider Demographics
NPI:1366474801
Name:MADRAZO, ARMANDO C (MD)
Entity Type:Individual
Prefix:DR
First Name:ARMANDO
Middle Name:C
Last Name:MADRAZO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:37771 SCHOENHERR RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48312-2302
Mailing Address - Country:US
Mailing Address - Phone:586-698-1200
Mailing Address - Fax:586-978-1323
Practice Address - Street 1:37771 SCHOENHERR RD
Practice Address - Street 2:SUITE 101
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48312-2302
Practice Address - Country:US
Practice Address - Phone:586-698-1200
Practice Address - Fax:586-978-1323
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2011-10-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MIAM033057207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI3517312Medicaid
MI0M01690021Medicare ID - Type UnspecifiedSOUTH MACOMB INTERNISTS
MI0E06345002Medicare ID - Type Unspecified
MI3517312Medicaid