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Individual

PAUL LUNA III

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5050 SCHAEFER RD, DEARBORN, MI 48126-3249
(313) 581-2600
(313) 581-0228
Mailing address
6167 N HIGHLAND ST, DEARBORN HEIGHTS, MI 48127-3247
(313) 561-8081

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
PL026772
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001008
MIDWEST HEALTH PLANS
MI
01
108481
GREAT LAKES HEALKTH PLAN
MI
05
2993287
MI
01
50803
OMNICARE HEALTH PLAN
MI
01
5670224
AETNA
MI
01
F16754
HEALTH ALLIANCE PLAN
MI
Enumeration date
04/20/2006
Last updated
07/08/2007
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