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Individual

DR. JOHN FLORENO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
11300 E 13 MILE RD STE 1, WARREN, MI 48093-2500
(586) 777-6170
(586) 777-6582
Mailing address
11300 E 13 MILE RD STE 1, WARREN, MI 48093-2500
(586) 777-6170
(586) 777-6582

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101008576
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1104800481
MI
01
700H217350
BLUE SHIELD
MI
Enumeration date
12/01/2005
Last updated
11/08/2022
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