Individual
JOSE E FUENTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
315 E WARWICK DR, SUITE F-2, ALMA, MI 48801-1083
(989) 463-4805
(989) 463-4680
Mailing address
315 E WARWICK DR, SUITE F-2, ALMA, MI 48801-1083
(989) 463-4805
(989) 463-4680
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
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