Individual
JOEL GUILLERMO LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2750 E BELTLINE AVE NE FL 1, GRAND RAPIDS, MI 49525-8614
(616) 391-6271
(616) 447-5868
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036131894
IL
207Q00000X
Family Medicine Physician
Primary
4301102565
MI
Other
Enumeration date
04/15/2010
Last updated
02/12/2024
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