Individual
DR. FANNY AGUIRRE DELA CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
17880 FARMINGTON RD, UNIT B, LIVONIA, MI 48152-3104
(734) 744-8560
(734) 744-8563
Mailing address
17880 B, FARMINGTON RD, LIVONIA, MI 48152-3104
(734) 744-8560
(734) 744-8563
Taxonomy
Speciality
Code
Description
License number
State
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Primary
FDO36977
MI
208D00000X
General Practice Physician
4301036977
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1788503
—
MI
Enumeration date
12/01/2006
Last updated
03/23/2015
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