Individual
DR. MARCOS ITAMAR CORDOBA MUNOZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
25 MICHIGAN ST NE, MATERNAL FETAL MEDICINE DEPT, GRAND RAPIDS, MI 49503-2515
(616) 391-3681
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
036135913
IL
207VM0101X
Maternal & Fetal Medicine Physician
Primary
4301090455
MI
Other
Enumeration date
02/11/2008
Last updated
01/05/2021
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