Individual
JOSEPH JAVIER CHAVEZ ROMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6071 W. OUTER DR., DETROIT, MI 48235
(313) 966-6777
Mailing address
1144 CATALINA DRIVE, APT 02, LIVERMORE, CA 94550
(313) 502-7802
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/22/2023
Last updated
01/16/2024
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