Individual
NORBERTO ALLENDE-JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5705 W VERNOR HWY, DETROIT, MI 48209
(313) 841-0395
(313) 841-0580
Mailing address
28700 W 14 MILE RD, WEST BLOOMFIELD, MI 48322-4225
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
NA061931
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3469082
—
MI
Enumeration date
10/12/2006
Last updated
05/18/2011
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