Individual provider · Type 1 NPI

Lisandro G. Carnero Vidal, MD

Student in an Organized Health Care Education/Training Program · Ann Arbor, MI

NPI number 1639325947 Active

Practice location

1500 E Medical Center Dr, 2207 Tc, Spc 5342
Ann Arbor, MI 48109-5000

Call (734) 936-5733 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X4301092925 (MI)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1639325947

Lisandro G. Carnero Vidal, MD's National Provider Identifier is 1639325947, issued on Aug 18, 2008. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Ann Arbor, MI. The record was last updated on Aug 18, 2008.