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NPI Code Detail

MEDICARE: DR. MARIA ADELA A. CORDOBA-NAGUIT MD

MEDICARE: DR. MARIA ADELA A. CORDOBA-NAGUIT MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician4301073146MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10804610351OTHERBCBS
203680OTHERMIPARAMOUNT

General Provider Information

NPI Number : 1699774133
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARIA ADELA A. CORDOBA-NAGUIT MD
Provider Business Mailing Address
First Line : 502 E CUMMINS ST
Second Line :
City : TECUMSEH
State : MI
Zip : 49286-2074
Country : US
Telephone Number : 517-423-5508
Fax Number : 517-423-4772
Provider Business Practice Location Address
First Line : 502 E CUMMINS ST
Second Line :
City : TECUMSEH
State : MI
Zip : 49286-2074
Country : US
Telephone Number : 517-423-5508
Fax Number : 517-423-4772
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2005
Last Update Date : 01/02/2008

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