Individual
JOSE JAVIER HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
909 FEE RD, ROOM B119, EAST LANSING, MI 48824-6549
(517) 353-3070
(517) 432-3603
Mailing address
804 SERVICE RD, A201, EAST LANSING, MI 48824-7015
(517) 884-2976
(517) 432-3928
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301092945
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841452604
—
MI
Enumeration date
07/01/2008
Last updated
07/14/2023
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