Whalio Doctors

NPI 1003914268

Roque L Carbajo, MD

Practitioner Specialist Detroit, MI

Practice location

Address
3990 John-R Road, Detroit, MI 48201
Phone
(313) 745-8521
Mailing address
255 W Michigan Ave, Jackson, MI 49201-2218

Registered specialties

Specialist Primary
Other Service Providers Taxonomy 174400000X Licence 4301031536 (MI)

Registry record

NPI
1003914268
Entity type
Individual
Sex (as registered)
Male
NPI issued
20 Sep 2006
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.