Individual
FELIX MARIO VALBUENA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5635 W FORT ST, DETROIT, MI 48209-3154
(313) 849-3920
(313) 849-0824
Mailing address
5635 W FORT ST, DETROIT, MI 48209-3154
(313) 849-3920
(313) 849-0824
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301075751
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4553940
—
MI
Enumeration date
10/27/2005
Last updated
12/11/2014
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