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Individual

DR. CECILIA GARCIA LOPEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3020 S GENESEE RD, BURTON, MI 48519-1420
(810) 744-3321
(810) 744-2850
Mailing address
3020 S GENESEE RD, BURTON, MI 48519-1420
(810) 744-3321
(810) 744-2850

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
CL046551
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2719565
MI
Enumeration date
12/23/2005
Last updated
06/28/2011
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