Individual
JUAN FERNANDO ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
275 MICHIGAN ST NE FL 11, GRAND RAPIDS, MI 49503-2531
(616) 267-7104
Mailing address
275 MICHIGAN ST NE FL 11, GRAND RAPIDS, MI 49503-2531
(616) 267-7104
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
4351050378
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/02/2022
Last updated
04/22/2025
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