# F M JARA MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952575219
- **Authorized official:** DR. FERNANDO M JARA MD (OWNER)
- **Authorized official phone:** (810) 732-8621

## Contact information

- **Practice address:** 4568 BEECHER RD, FLINT, MI 48532-2615
- **Practice address phone:** (810) 762-8621
- **Practice address fax:** (810) 732-8676
- **Mailing address:** 4568 BEECHER RD, FLINT, MI 48532-2615
- **Mailing address phone:** (810) 762-8621
- **Mailing address fax:** (810) 732-8676

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | FJ037807 | MI | Yes |

## Other

- **Enumeration date:** 04/17/2008
- **Last updated:** 11/21/2008