Individual
JOSE LUIS ZAMORA-SIFUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
985990 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-2148
(402) 596-3878
(402) 596-4410
Mailing address
19251 MACK AVE STE 335, GROSSE POINTE WOODS, MI 48236-2895
(313) 343-3329
(313) 343-7784
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5101023043
MI
207R00000X
Internal Medicine Physician
5101025436
MI
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
2801
NE
Other
Enumeration date
05/11/2017
Last updated
10/21/2024
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