Individual
MACLOVIO JAMES LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301079305
MI
2080P0206X
Pediatric Gastroenterology Physician
4301079305
MI
2080T0004X
Pediatric Transplant Hepatology Physician
Primary
4301079305
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4417062
—
MI
05
—
4445568
—
MI
Enumeration date
01/19/2006
Last updated
11/14/2023
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