Individual
LEVI L GUERRERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3532 MAIN ST, DECKERVILLE, MI 48427-9615
(810) 376-3100
(810) 376-8311
Mailing address
3532 MAIN ST, DECKERVILLE, MI 48427-9615
(810) 376-3100
(810) 376-8311
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
43010038491
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0107600112
BC/BS/BC NETWORK
MI
05
—
103365954
—
MI
01
—
5067217
AETNA
MI
Enumeration date
05/31/2006
Last updated
05/05/2008
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