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General NPI Number Information
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NPI Number | 1265527964
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Entity Type | Individual
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Provider Name | JOSE MARI GOJAR JURADO M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 355 N CENTER RD
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City | SAGINAW
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State | MI
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Zip | 48638-5849
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Country | US
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Telephone | 989-790-5773
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Fax | 989-790-0230
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Provider Business Mailing Address
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Address Line | 355 N CENTER RD
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City | SAGINAW
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State | MI
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Zip | 48638-5849
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Country | US
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Telephone | 989-790-5773
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Fax | 989-790-0230
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | J046814
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License Number State | MI
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