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Individual
JUAN RENE FRONTERA
Active
Individual
JUAN RENE FRONTERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
4301053764
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
132311
PRIORITY HEALTH
MI
01
—
3235841007
CIGNA
MI
01
—
340019038
RAILROAD MEDICARE
MI
01
—
5733698
AETNA
MI
01
—
F10966
HAP
MI
Enumeration date
04/19/2006
Last updated
07/28/2008
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