Dr GUDALIA ALCANTARA FAJARDO is a female medical professional, specializing in Nurse Practitioner. She graduated in 2014.
ST CLAIR SPECIALTY PHYSICIANS PC
2601 ELECTRIC AVE
PORT HURON
MI
480606587
Tel: 8102161500
| Npi | 1083019012 |
| Pac Id | 6709109713 |
| Professional Enrollment Id | I20141224001070 |
| Last Name | FAJARDO |
| First Name | GUDALIA |
| Middle Name | ALCANTARA |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | ST CLAIR SPECIALTY PHYSICIANS PC |
| Group Practice Pac Id | 6204733256 |
| Number Of Group Practice Members | 34 |
| Line 1 Street Address | 2601 ELECTRIC AVE |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | PORT HURON |
| State | MI |
| Zip Code | 480606587 |
| Phone Number | 8102161500 |
| Hospital Affiliation Ccn 1 | 230031 |
| Hospital Affiliation Lbn 1 | LAKE HURON MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 230216 |
| Hospital Affiliation Lbn 2 | MCLAREN PORT HURON |
| Hospital Affiliation Ccn 3 | 231311 |
| Hospital Affiliation Lbn 3 | DECKERVILLE COMMUNITY HOSPITAL |
| Hospital Affiliation Ccn 4 | 231314 |
| Hospital Affiliation Lbn 4 | MCKENZIE HEALTH SYSTEM |
| Hospital Affiliation Ccn 5 | 230241 |
| Hospital Affiliation Lbn 5 | ST JOHN RIVER DISTRICT HOSPITAL |
| Professional Accepts Medicare Assignment | Y |
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