Individual
JUAN FRANCISCO LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4250 PLYMOUTH RD, ANN ARBOR, MI 48109-2700
(764) 764-6443
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
4301050784
MI
2084P0800X
Psychiatry Physician
Primary
4301050784
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3069760
—
MI
Enumeration date
11/14/2006
Last updated
06/11/2020
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