| Raul Guerrero, M.d., P.c. | |
|
131 Kercheval Ave Suite 390 Grosse Pointe Farms MI 48236-3629 | |
| (313) 885-0052 | |
| (313) 885-6807 |
| Full Name | Raul Guerrero, M.d., P.c. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 131 Kercheval Ave, Grosse Pointe Farms, Michigan |
| Authorized Official Name and Position | Raul Guerrero (OWNER/PRESIDENT) |
| Authorized Official Contact | 3138850052 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Raul Guerrero, M.d., P.c. 131 Kercheval Ave Suite 390 Grosse Pointe Farms MI 48236-3629 Ph: (313) 885-0052 | Raul Guerrero, M.d., P.c. 131 Kercheval Ave Suite 390 Grosse Pointe Farms MI 48236-3629 Ph: (313) 885-0052 |
| NPI Number | 1841458015 |
|---|---|
| Provider Enumeration Date | 05/23/2008 |
| Last Update Date | 05/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841458015 | NPI | - | NPPES |
| 286812 | Medicaid | MI | |
| E26588 | Other | UPIN# | |
| 1861412033 | Other | INDIVIDUAL NPI# |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 4301035747 (Michigan) | Primary |
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