Healthcare Provider Details

I. General information

NPI: 1649185554
Provider Name (Legal Business Name): FRANCISCO CONTRERAS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 STATE CIR # D
ANN ARBOR MI
48108-1691
US

IV. Provider business mailing address

1200 GEORGINA DR
YPSILANTI MI
48198-6314
US

V. Phone/Fax

Practice location:
  • Phone: 734-972-2210
  • Fax:
Mailing address:
  • Phone: 734-972-2210
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146L00000X
TaxonomyParamedic
License Number2012813
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: