Individual
DR. ROQUE L CARBAJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
3990 JOHN-R ROAD, DETROIT, MI 48201
(313) 745-8521
Mailing address
255 W MICHIGAN AVE, JACKSON, MI 49201-2218
(517) 787-6440
(517) 787-4146
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4301031536
MI
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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