Individual
MR. JORGE ENRIQUE GUZMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1234 NAPIER AVE, SAINT JOSEPH, MI 49085-2112
(269) 985-4632
Mailing address
85 MAUI LANI PKWY, WAILUKU, HI 96793-2416
(808) 442-5700
(808) 442-5701
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
036126808
IL
207RG0100X
Gastroenterology Physician
35.095151
OH
207RG0100X
Gastroenterology Physician
Primary
4301106886
MI
207RG0100X
Gastroenterology Physician
48191
KY
207RG0100X
Gastroenterology Physician
MD-20060
HI
390200000X
Student in an Organized Health Care Education/Training Program
57.013847
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036.126808
ILLINOIS LICENSE#
IL
Enumeration date
10/25/2007
Last updated
04/29/2025
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