Individual
LUIS FELIPE FANEGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3180 FORT ST, LINCOLN PARK, MI 48146-3631
(313) 389-5588
(313) 389-7075
Mailing address
3180 FORT ST, LINCOLN PARK, MI 48146-3631
(313) 389-5588
(313) 389-7075
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
LF053797
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1108267832
BCBSM
MI
05
—
4121372
—
MI
Enumeration date
09/27/2006
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us