Individual
RACHEL FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
2333 BIDDLE AVE, WYANDOTTE, MI 48192-4668
(734) 287-9029
Mailing address
2333 BIDDLE AVE, WYANDOTTE, MI 48192-4668
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101022234
MI
Other
Enumeration date
02/21/2016
Last updated
02/18/2022
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