Individual
MR. JOSE BATERINA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4085 S CENTER RD STE 2, BURTON, MI 48519-1957
(810) 715-0349
(810) 768-3446
Mailing address
4085 S CENTER RD STE 2, BURTON, MI 48519-1957
(810) 715-0349
(810) 768-3446
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
JL047858
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2621432
—
MI
Enumeration date
12/01/2005
Last updated
09/23/2021
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