Male or Other

Luis F. Gonzalez Mosquera M.D.

Student in an Organized Health Care Education/Training Program in Detroit, MI(View on Map)

Full Name

Luis Fernando Gonzalez Mosquera M.D.

NPI Number

1902395601

NPI Type

Individual Provider

Gender

Male

Enumeration Date

05/08/2018

Specialties

(Taxonomies)

Licenses

State

Michigan

License Number

4351048906

Contact
Information

Purpose

Mailing
Location

Address

2800 W GRAND BLVD
2800 W GRAND BLVD

City

Detroit
Detroit

State

MI
MI

Postal Code

48202-2610
48202-2610

Country

US
US

Telephone Number

(888) 777-4167
(888) 777-4167

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/20/2022

Provider Address

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Male or Other

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Male or Other

M Sami Tashwali

Detroit, MI

Specialty: Student in an Organized Health Care Education/Training Program (Primary)

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Detroit, MI

Specialty: Student in an Organized Health Care Education/Training Program (Primary)