Individual
DIEGO HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
43700 WOODWARD AVE STE 207, BLOOMFIELD HILLS, MI 48302-5061
(248) 481-2100
(248) 359-8750
Mailing address
PO BOX 67000, DEPT 83901, DETROIT, MI 48267-0839
(248) 858-6144
(248) 858-6232
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
4301063339
MI
2086S0129X
Vascular Surgery Physician
Primary
4301063339
MI
Other
Enumeration date
07/19/2006
Last updated
07/08/2024
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