Individual
DR. LUIS FERNANDO OSPINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17412 W 13 MILE RD, BEVERLY HILLS, MI 48025-5439
(248) 258-8740
(248) 258-9329
Mailing address
17412 W 13 MILE RD, BEVERLY HILLS, MI 48025-5439
(248) 258-8740
(248) 258-9329
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
4301034402
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1962587147
BLUE CROSS BLUE SHIELD
MI
05
—
2098391
—
MI
Enumeration date
10/26/2006
Last updated
01/04/2010
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