Provider Demographics
NPI:1518058379
Name:HEART CARE PC
Entity Type:Organization
Organization Name:HEART CARE PC
Other - Org Name:HEART CARE PC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CREAGH
Authorized Official - Middle Name:E
Authorized Official - Last Name:MILFORD
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:248-666-5200
Mailing Address - Street 1:6889 HIGHLAND RD
Mailing Address - Street 2:
Mailing Address - City:WATERFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48327-1658
Mailing Address - Country:US
Mailing Address - Phone:248-666-5200
Mailing Address - Fax:248-666-5069
Practice Address - Street 1:6889 HIGHLAND RD
Practice Address - Street 2:
Practice Address - City:WATERFORD
Practice Address - State:MI
Practice Address - Zip Code:48327-1658
Practice Address - Country:US
Practice Address - Phone:248-666-5200
Practice Address - Fax:248-666-5069
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-27
Last Update Date:2021-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI=========OtherTAX ID NUMBER