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Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSE CASTRORAMIREZ MD (PRESIDENT)
(313) 506-2037
Entity
Organization

Contact information

Practice address
28230 ORCHARD LAKE RD, STE 103, FARMINGTON HILLS, MI 48334-3762
(313) 506-2037
(248) 538-8942
Mailing address
PO BOX 2240, FARMINGTON HILLS, MI 48333-2240
(313) 506-2037
(248) 538-8942

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301064583
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
104091522
MI
Enumeration date
05/15/2008
Last updated
05/15/2008
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