AGUSTIN FELIPE GAVIDIA ROSARIO

DETROIT, MI
NPI1588403174
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-05-22
Last Update Date2024-09-17
Business Address
AGUSTIN FELIPE GAVIDIA ROSARIO M.D.
2799 W GRAND BLVD
DETROIT, MI 48202
Phone number: 313-916-2600
Mailing Address
AGUSTIN FELIPE GAVIDIA ROSARIO M.D.
CALLE LOS SAUCES 377 APT 501 SAN ISIDRO
LIMA, LIMA 15073
Phone number: