Individual
JORGE PLASENCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4705 TOWNE CTR, SUITE 202, SAGINAW, MI 48604-2818
(989) 791-3401
(989) 791-3466
Mailing address
4449 FASHION SQUARE BLVD, SAGINAW, MI 48603-5217
(989) 790-0007
(989) 790-7547
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301068139
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4767454
—
MI
Enumeration date
12/06/2005
Last updated
12/20/2011
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