Organization
F M JARA MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FERNANDO M JARA MD (OWNER)
(810) 732-8621
Entity
Organization
Contact information
Practice address
4568 BEECHER RD, FLINT, MI 48532-2615
(810) 762-8621
(810) 732-8676
Mailing address
4568 BEECHER RD, FLINT, MI 48532-2615
(810) 762-8621
(810) 732-8676
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
FJ037807
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4447517
—
MI
Enumeration date
04/17/2008
Last updated
11/21/2008
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