Individual
MAGALIS LLOVET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3260 EAGLE PARK DR NE, STE115, GRAND RAPIDS, MI 49525-4569
(616) 942-7400
(616) 942-7405
Mailing address
PO BOX 1239, TROY, MI 48099-1239
(248) 824-6622
(248) 324-1477
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ML075353
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4255750
—
MI
01
—
700B510850
BCBS OF MI
MI
01
—
700F374320
BCBS OF MI
MI
Enumeration date
08/03/2006
Last updated
07/11/2011
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