Individual
DR. JUAN MIGUEL AFABLE DELA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 LAFAYETTE AVE SE, SUITE 4000, GRAND RAPIDS, MI 49503-4650
(616) 685-6922
Mailing address
530 CEDAR RIDGE DR NW, APARTMENT 3A, GRAND RAPIDS, MI 49544-8512
(616) 309-4728
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301095109
MI
Other
Enumeration date
07/06/2009
Last updated
07/06/2009
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