XAVIER FONSECA FUENTES

DETROIT, MI
NPI1760889182
Other NameXAVIER FONSECA
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RC0200X Internal Medicine, Critical Care Medicine
(Licence: MI  4301507390)
Additional Taxonomies207RP1001X Internal Medicine, Pulmonary Disease
(Licence: MN  60745)
207RC0200X Internal Medicine, Critical Care Medicine
(Licence: MN  60745)
Enumeration Date2014-12-01
Last Update Date2022-07-13
Business Address
XAVIER FONSECA FUENTES
2799 W GRAND BLVD
DETROIT, MI 48202-2608
Phone number: 800-653-6568
Mailing Address
XAVIER FONSECA FUENTES
2799 W GRAND BLVD
DETROIT, MI 48202-2608
Phone number: 800-653-6568