Luis C Afonso MD

NPI 1023058575 - Internal Medicine - 207R00000X

NPI Details
NPI 1023058575
Gender Male
Enumeration Date 06/06/2006
Last Updated 01/15/2016
Entity Type Individual
Active Over 10 years ago
Practice Location
4201 SAINT ANTOINE ST
SUITE 804
DETROIT MI, 48201-2014, US
Phone (313) 745-4525
Fax (313) 993-7770
Business Location
1560 E MAPLE RD
SUITE 400-CREDENTIALING
TROY MI, 48083-1138, US
Phone (313) 745-4525
Fax (248) 581-5640
Toxanomy
Taxonomy Code 207R00000X
License State Michigan
License Number 4301062290
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According to our database, Luis C Afonso MD NPI is 1023058575, taxonomy code is 207R00000X and license number is 4301062290, license state is located at Michigan. Luis C Afonso MD physically located at 4201 Saint Antoine St, Detroit MI, 48201-2014. NPI Number Luis C Afonso MD has the Individual type.

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1023058575 NPI number is provided on an as is basis without warranty of any kind. 1023058575 is maintained by the National Plan & Provider Enumeration System. The contents of Luis C Afonso MD are for informational purposes only.