Individual
JOSE PERALTA DIGALO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4150 RIVER RD, EAST CHINA, MI 48054-2915
(810) 329-8870
(810) 329-6770
Mailing address
43800 GARFIELD RD, CLINTON TWP, MI 48038-1136
(800) 848-0202
(586) 226-6949
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301032431
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1028901
ECFMG
—
05
—
4516051
—
MI
Enumeration date
11/14/2005
Last updated
07/19/2007
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