Individual
DR. DIEGO VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-2600
Mailing address
1350 W BETHUNE ST, APT 1601, DETROIT, MI 48202-2600
(818) 614-2638
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301095117
MI
Other
Enumeration date
07/26/2009
Last updated
10/29/2009
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