Individual
ROMMEL LARRACAS SAGANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
(734) 936-4000
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301087562
MI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
4301087562
MI
207RP1001X
Pulmonary Disease Physician
Primary
4301087562
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0C97618
BCBSM
MI
05
—
1740300193
—
MI
Enumeration date
03/30/2007
Last updated
08/27/2020
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