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Gustavo Alberto Mirabal, MEDICALSTUDENTMS4
Student in an Organized Health Care Education/Training Program in Southfield, Michigan
NPI 1447946470

Gustavo Alberto Mirabal is a Student in an Organized Health Care Education/Training Program based in Carolina, MI. Gustavo Alberto Mirabal practices in Southfield, MI and has the professional credentials of MEDICALSTUDENTMS4. The NPI Number for Gustavo Alberto Mirabal is 1447946470 and holds a License No. (Michigan).

The current practice location address for Gustavo Alberto Mirabal is 16001 W 9 Mile Rd, Southfield, MI and can be reached out via phone at 248-849-2407.

Location: 16001 W 9 Mile Rd, Southfield, MI, 00982
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447946470
Provider Name
Gustavo Alberto Mirabal
Credential
MEDICALSTUDENTMS4
Provider Entity Type
Individual
Gender
Male
Address
16001 W 9 Mile Rd, Southfield, MI, 00982
Phone Number
248-849-2407
Fax Number
Provider Enumeration Date
04/13/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
16001 W 9 Mile Rd
City
Southfield
State
Michigan
Zip
48075-4818
Phone Number
248-849-2407
Fax Number
person
Provider Business Mailing Address Details
Address
16001 W 9 Mile Rd
City
Southfield
State
Michigan
Zip
48075-4818
Phone Number
248-849-2407
Fax Number
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.
()
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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