Individual
ANDRES ADOLFO FUENTES BALDEMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MMSC
Contact information
Practice address
3901 BEAUBIEN BLVD, PEDIATRIC EDUCATION DEPARTMENT - ROOM 3T-72, DETROIT, MI 48201
(313) 745-5533
Mailing address
4707 PIN OAK PARK APT 335, HOUSTON, TX 77081-2248
(617) 863-8767
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/14/2023
Last updated
04/14/2023
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