DR. Gustavo F Tataje Rengifo, MD

NPI #1033601489 in Lansing, Michigan

Provider Information

NPI Number: 1033601489
Entity Type: Individual
Name: DR. Gustavo F Tataje Rengifo, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Jun 1, 2018
Last Updated: Jul 23, 2021

Practice Location

Address: 3955 PATIENT CARE DR STE A
City: Lansing
State: Michigan
ZIP Code: 48911
Phone: (517) 374-7600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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