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Individual

MRS. CORAZON INTANO-ARCA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
8033 E. TEN MILE, SUITE 101, CENTERLINE, MI 48015
(586) 977-2900
(586) 977-2992
Mailing address
8033 E 10 MILE RD, SUITE 101, CENTER LINE, MI 48015-1427
(586) 977-2900
(586) 977-2900

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
4301032630
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
104294015
MI
01
3506356272
BCBSM
MI
01
3506356272
BCBSM
05
4294015
MI
Enumeration date
09/25/2006
Last updated
09/09/2013
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