| Doctor Name: | NORBERTO ALLENDE-JIMENEZ |
| NPI Number: | 1285723809 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | NA061931 |
| Business Practice Address: | 5705 W Vernor Hwy Detroit, MI - 48209 |
| Business Phone Number: | 3138410395 |
| Business Fax Number: | 3138410580 |
| Mailing Address: | 28700 W 14 Mile Rd, WEST BLOOMFIELD |
| State: | MI |
| Postal Code: | 483224225 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 10/12/2006 |
| NPI Last Update Date: | 05/18/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | NA061931 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |