Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jonathan Lopez, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1124723341

Jonathan Lopez, MD is a Student in an Organized Health Care Education/Training Program in Clinton Twp, Michigan. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

15855 19 Mile Rd
Clinton Twp, MI 48038-3504
Phone: (586) 263-2300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1124723341
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 5, 2023
Last updated in NPPESApril 5, 2023
Certification dateApril 5, 2023
Mailing address15855 19 Mile Rd, Clinton Twp, MI 48038-3504

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