SearchMichigan207RC0200X

Xavier Fonseca Fuentes

NPI 1760889182 · on the registry since 2014

Practice

Address
2799 W Grand Blvd
Detroit, MI 48202
Phone
(800) 653-6568
Organisation at this address
Pcor Llc
Henry Ford Hospital
Henry Ford Hospital
Henry Ford Hospital
Henry Ford Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2,594

Additional practice sites

  • 200 1st St Sw, Rochester, MN

Registry record

Primary taxonomy
207RC0200X
207RC0200X
Also registered as
207RP1001X
207RC0200X
Licence states on file
MN, MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-07-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan