Individual
JOSE PAEZ GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4444 W BRISTOL RD, STE. 150, FLINT, MI 48507-3153
(810) 230-9500
(810) 230-0169
Mailing address
PO BOX 1239, TROY, MI 48099-1239
(248) 824-6600
(248) 324-1477
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301068202
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4374958
—
MI
Enumeration date
05/15/2006
Last updated
11/12/2013
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