Provider Demographics
NPI:1821114109
Name:SANCHEZ, HUGO MARCOS (MD)
Entity Type:Individual
Prefix:DR
First Name:HUGO
Middle Name:MARCOS
Last Name:SANCHEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3890 PENBERTON DR
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105-3002
Mailing Address - Country:US
Mailing Address - Phone:734-761-1516
Mailing Address - Fax:
Practice Address - Street 1:2301 S HURON PKWY
Practice Address - Street 2:SUITE 3C
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48104-5133
Practice Address - Country:US
Practice Address - Phone:734-677-3645
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301028040174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1050160Medicaid
MI1050160Medicaid
0817377Medicare ID - Type Unspecified