Individual
DR. FERNANDO MORA JARA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
G4568 BEECHER ROAD, FLINT, MI 48532
(810) 732-8621
(810) 732-8676
Mailing address
G4568 BEECHER ROAD, FLINT, MI 48532
(810) 732-8621
(810) 732-8676
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
FJ037807
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4447517
—
MI
Enumeration date
04/05/2006
Last updated
07/08/2007
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