Individual
DR. LUIS C AFONSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4201 SAINT ANTOINE ST STE 5A, DETROIT, MI 48201-2153
(313) 966-2492
(313) 993-0657
Mailing address
400 MACK AVE, DETROIT, MI 48201-2136
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301062290
MI
207RC0000X
Cardiovascular Disease Physician
Primary
4301062290
MI
Other
Enumeration date
06/06/2006
Last updated
02/17/2022
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