Provider Demographics
NPI:1952502197
Name:ERNESTO FIGUEROA M D PLLC
Entity Type:Organization
Organization Name:ERNESTO FIGUEROA M D PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ERNESTO
Authorized Official - Middle Name:
Authorized Official - Last Name:FIGUEROA
Authorized Official - Suffix:
Authorized Official - Credentials:M D
Authorized Official - Phone:734-994-6225
Mailing Address - Street 1:2020 HOGBACK RD
Mailing Address - Street 2:SUITE 19
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105-9752
Mailing Address - Country:US
Mailing Address - Phone:734-994-6225
Mailing Address - Fax:
Practice Address - Street 1:2020 HOGBACK RD
Practice Address - Street 2:SUITE 19
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48105-9752
Practice Address - Country:US
Practice Address - Phone:734-994-6225
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-29
Last Update Date:2007-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIEF0578982084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIEF057898OtherSTATE LICENSE
MIEF057898OtherSTATE LICENSE
MIF31031Medicare UPIN