Individual
DR. JUAN GABRIEL VASQUEZ
Active
Individual
DR. JUAN GABRIEL VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
5601102220
MI
207ND0900X
Dermatopathology Physician
Primary
5601102220
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070D16223
BCBS OF MICHIGAN
MI
01
—
0D16223
MEDICARE GROUP
MI
01
—
CI2832
MEDICARE RAILROAD GROUP
MI
Enumeration date
05/03/2008
Last updated
07/30/2024
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