Individual
LUIS MIGUEL ESCANO VOLQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-0000
Mailing address
1350 W BETHUNE ST APT 2004, DETROIT, MI 48202-2667
(914) 316-3935
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
042.0017435
VT
390200000X
Student in an Organized Health Care Education/Training Program
4351044289
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
06/19/2017
Last updated
12/03/2024
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