Individual
DR. CONSTANZA I FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1205 S MISSION ST, SUITE 4, MOUNT PLEASANT, MI 48858-3939
(989) 400-4369
(989) 400-4376
Mailing address
1205 S MISSION ST, SUITE 4, MOUNT PLEASANT, MI 48858-3939
(989) 400-4369
(989) 400-4376
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301087542
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4875756
—
MI
Enumeration date
05/02/2006
Last updated
03/23/2016
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