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Individual

SALVADOR ESPINOZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
200 N PARK ST, KALAMAZOO, MI 49007-3731
(269) 382-2500
(269) 373-0123
Mailing address
200 N PARK ST, KALAMAZOO, MI 49007-3731
(269) 382-2500
(269) 373-0123

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
104780939
MI
05
1578586921
MI
01
1588778484
BCBSM - WMU
MI
01
320A111090
BCBS GROUP NUMBER
MI
01
3835921220
TAX ID
MI
Enumeration date
07/26/2006
Last updated
11/08/2011
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