Individual
SANTIAGO URIBE MARQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 874-4806
Mailing address
1 FORD PL STE 2E, DETROIT, MI 48202-3450
(313) 874-4806
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4301101546
MI
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
4301101546
MI
Other
Enumeration date
04/08/2011
Last updated
11/12/2018
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