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Cristo Rey Community Center
General Practice Physician in Lansing, Michigan
NPI 1407800931

Cristo Rey Community Center is a General Practice Physician based in Lansing, MI. Cristo Rey Community Center practices in Lansing, MI. The NPI Number for Cristo Rey Community Center is 1407800931 and holds a License No. SL037010 (Michigan).

The current practice location address for Cristo Rey Community Center is 1717 N High St, Lansing, MI and can be reached out via phone at 517-371-1700 and via fax at 517-371-4245.

Location: 1717 N High St, Lansing, MI, 48906-4529
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1407800931
Provider Name
Cristo Rey Community Center
Credential
Provider Entity Type
Organization
Address
1717 N High St, Lansing, MI, 48906-4529
Phone Number
517-371-1700
Fax Number
517-371-4245
Provider Enumeration Date
05/20/2006
Last Update Date
10/19/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
010C362090 01 MI BCBS COOKE
3148943 05 MI
institution
Provider Business Practice Location Address Details
Address
1717 N High St
City
Lansing
State
Michigan
Zip
48906-4529
Phone Number
517-371-1700
Fax Number
517-371-4245
person
Provider Business Mailing Address Details
Address
1717 N High St
City
Lansing
State
Michigan
Zip
48906-4529
Phone Number
517-371-1700
Fax Number
517-371-4245
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
PC049423 (Michigan)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
SL037010 (Michigan)
Definition
Definition to come...
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