Organization
JUAN A. ESTIGARRIBIA M.D. PC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN ANGEL ESTIGARRIBIA MD. (PRESIDENT)
(313) 277-0075
Entity
Organization
Contact information
Practice address
23550 PARK ST STE 201, DEARBORN, MI 48124-2592
(313) 277-0075
(313) 277-8029
Mailing address
23550 PARK ST STE 201, DEARBORN, MI 48124-2592
(313) 277-0075
(313) 277-8029
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
JE038833
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0823594
BCBS
MI
05
—
2120269
—
MI
Enumeration date
02/20/2008
Last updated
02/21/2008
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