Individual
MS. FAITH D FUENTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4011 ORCHARD DR, SUITE 4012, MIDLAND, MI 48640-6190
(989) 839-2855
(989) 839-7296
Mailing address
4011 ORCHARD DR, SUITE 4012, MIDLAND, MI 48640-6190
(989) 839-2855
(989) 839-7296
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
FF054990
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2573630
—
MI
Enumeration date
01/29/2007
Last updated
07/08/2007
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