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Carmen R Ventocilla, M.D.

Physical Medicine & Rehabilitation in Lansing, MI. Individual provider (NPI-1).

NPI number1265482129
StatusActive
Last updated in NPPESOct 29, 2007

Details

NPI
1265482129
Entity type
Individual (NPI-1)
Name
Carmen R Ventocilla
Credential
M.D.
Sex
Female
Sole proprietor
Yes
Enumeration date
May 11, 2006
Last updated
Oct 29, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208100000X Physical Medicine & RehabilitationCV405064MIYes

Practice location

3960 Patient Care Way
Suite 102
Lansing, MI 48911-4275

Phone 517-351-8123 · Fax 517-351-1352

Mailing address

3960 Patient Care Way
Suite 102
Lansing, MI 48911-4275

Phone 517-351-8123 · Fax 517-351-1352

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