# JUAN A. ESTIGARRIBIA MD PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Juan A. Estigarribia Md Pc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134703143
- **Authorized official:** JUAN A ESTIGARRIBIA MD (OWNER)
- **Authorized official phone:** (313) 277-0075

## Contact information

- **Practice address:** 23550 PARK ST STE 201, DEARBORN, MI 48124-2592
- **Practice address phone:** (313) 277-0075
- **Practice address fax:** (313) 277-8029
- **Mailing address:** 23550 PARK ST STE 201, DEARBORN, MI 48124-2592
- **Mailing address phone:** (313) 277-0075
- **Mailing address fax:** (313) 277-8029

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/06/2021
- **Last updated:** 05/06/2021