Organization
ADELINA W HERRERO MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADELINA W HERRERO MD (PHYSICIAN)
(734) 246-8282
Entity
Organization
Contact information
Practice address
316 ECORSE RD STE 100, YPSILANTI, MI 48198-5732
(734) 246-8282
(734) 246-5714
Mailing address
316 ECORSE RD STE 100, YPSILANTI, MI 48198-5732
(734) 246-8282
(734) 246-5714
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301032776
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0608116702
BLUE CROSS
MI
05
—
1052173
—
MI
01
—
4301032776
LICENSE
MI
Enumeration date
06/11/2007
Last updated
01/25/2008
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