Individual
JORGE TIRADOR GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 W CHISHOLM ST, ALPENA, MI 49707-2426
(989) 356-9880
(989) 356-9890
Mailing address
601 W CHISHOLM ST, P.O. BOX 296, ALPENA, MI 49707-2426
(989) 356-9880
(989) 356-9890
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
4301066290
MI
2084N0400X
Neurology Physician
MD-16258
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1004394
COUNTY HEALTH PLAN
MI
05
—
103237981
—
MI
01
—
130017016
RAILROAD MEDICARE
MI
01
—
1300400361
BLUE CROSS BLUE SHIELD MI
MI
Enumeration date
01/08/2007
Last updated
04/24/2025
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