Individual
FILEMON JOSE INOCENCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4047 LAKE CHAPIN RD, BERRIEN SPRINGS, MI 49103-9654
(269) 815-3052
(269) 815-3052
Mailing address
4047 LAKE CHAPIN RD, BERRIEN SPRINGS, MI 49103-9654
(269) 815-3052
(269) 815-3052
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
4301041260
MI
Other
Enumeration date
02/28/2009
Last updated
02/28/2009
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