Individual
MILAGROS CORPUZ PANEDA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
818 RIVERSIDE AVENUE, ADRIAN, MI 49221
(517) 265-0931
(517) 265-0990
Mailing address
725 S SHOOP AVE, WAUSEON, OH 43567-1702
(517) 265-0931
(517) 265-0990
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
047580
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22009775
RRMC
MI
01
—
2204602122
BS
MI
05
—
2866060
—
MI
Enumeration date
04/06/2006
Last updated
04/14/2017
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