Individual
JOSE E FUENTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
4301065222
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0983464
HEALTHPLUS COMMERCIAL
MI
01
—
1006847
MCLAREN HEALTH PLAN
MI
01
—
1006848
MCLAREN HEALTH PLAN
MI
01
—
1034330
MCLAREN HEALTH PLAN
MI
01
—
1102911871
BCBSM
MI
01
—
1103700741
BCBSM
MI
01
—
200000005740
PHP COMMERCIAL
MI
05
—
3457591
—
MI
05
—
4560855
—
MI
05
—
4837370
—
MI
05
—
4964121
—
MI
Enumeration date
06/13/2006
Last updated
09/05/2008
Update your record
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