Organization
LAKES AREA HOSPITALISTS,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA GUERRERO BETANCOURT M.D. (PRESIDENT)
(248) 561-3692
Entity
Organization
Contact information
Practice address
6520 CASTLEBURY DR, WEST BLOOMFIELD, MI 48322-2711
(248) 561-3692
Mailing address
6520 CASTLEBURY DR, WEST BLOOMFIELD, MI 48322-2711
(248) 561-3692
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301406079
MI
Other
Enumeration date
10/01/2007
Last updated
04/17/2015
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