Organization
JESUS ORTEGA, M.D., P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESUS ORTEGA MD (OWNER)
(313) 381-5522
Entity
Organization
Contact information
Practice address
6760 ALLEN RD, SUITE 106, ALLEN PARK, MI 48101-2078
(313) 381-5522
(313) 381-2666
Mailing address
6760 ALLEN RD, SUITE 106, ALLEN PARK, MI 48101-2078
(313) 381-5522
(313) 381-2666
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
JO4301031455
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0822641
BLUE CARE NETWORK
MI
01
—
110822641-1
BCBS OF MICHIGAN
MI
01
—
1130860001
WELLNESS PLAN
MI
01
—
1457331704
INDIVIDUAL NPI
MI
01
—
P00124985
RAILROAD MEDICARE
MI
01
—
S19233
OAKWOOD MANAGED CARE
MI
Enumeration date
11/17/2007
Last updated
11/17/2007
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