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Individual

RAFAEL ERNESTO LEDESMA BILBAO JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
200 JEFFERSON AVE SE STE 626, GRAND RAPIDS, MI 49503-4502
(616) 685-5576
(616) 685-8910
Mailing address
200 JEFFERSON AVE SE, GRAND RAPIDS, MI 49503-4502
(616) 685-5576
(616) 685-8910

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301082270
MI
208M00000X
Hospitalist Physician
Primary
4301082270
MI

Other

Enumeration date
02/14/2007
Last updated
04/26/2022
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