Individual
DR. LUIS GASPAR MADURO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18161 W 13 MILE RD, SOUTHFIELD, MI 48076
(248) 480-4183
(248) 792-2631
Mailing address
18161 W 13 MILE RD, SOUTHFIELD, MI 48076-1113
(248) 480-4183
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12074
PR
Other
Enumeration date
04/25/2007
Last updated
05/04/2021
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