Individual provider · Type 1 NPI
Roque L. Carbajo, MD
Specialist · Detroit, MI
NPI number
1003914268
Active
Practice location
3990 John-R Road
Detroit, MI 48201
Mailing address
255 W Michigan Ave
Jackson, MI 49201-2218
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 4301031536 (MI) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1003914268
Roque L. Carbajo, MD's National Provider Identifier is 1003914268, issued on Sep 20, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Detroit, MI. The record was last updated on Jul 8, 2007.