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Jose Maciel Larios, MD
Student in an Organized Health Care Education/Training Program in Southfield, Michigan
NPI 1104354638

Jose Maciel Larios is a Student in an Organized Health Care Education/Training Program based in Southfield, MI. Jose Maciel Larios practices in Southfield, MI and has the professional credentials of MD. The NPI Number for Jose Maciel Larios is 1104354638 and holds a License No. (Michigan).

The current practice location address for Jose Maciel Larios is 16001 W 9 Mile Rd, Southfield, MI and can be reached out via phone at 248-849-3000 and via fax at 248-849-5324.

Location: 16001 W 9 Mile Rd, Southfield, MI, 48075-4818
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104354638
Provider Name
Jose Maciel Larios
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
16001 W 9 Mile Rd, Southfield, MI, 48075-4818
Phone Number
248-849-3000
Fax Number
248-849-5324
Provider Enumeration Date
05/29/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
16001 W 9 Mile Rd
City
Southfield
State
Michigan
Zip
48075-4818
Phone Number
248-849-3000
Fax Number
248-849-5324
person
Provider Business Mailing Address Details
Address
16001 W 9 Mile Rd
City
Southfield
State
Michigan
Zip
48075-4818
Phone Number
248-849-3000
Fax Number
248-849-5324
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Michigan)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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