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Individual

XAVIER LOPEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
N.P.

Contact information

Practice address
16627 MCCANN ST, SOUTHGATE, MI 48195-2909
(586) 481-4038
Mailing address
16627 MCCANN ST, SOUTHGATE, MI 48195-2909
(586) 481-4038

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704382275
MI

Other

Enumeration date
08/21/2025
Last updated
02/24/2026
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