# ANDREW M AGOSTA MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134240880
- **Authorized official:** DR. ANDREW M AGOSTA MD (PRESIDENT)
- **Authorized official phone:** (586) 263-3545

## Contact information

- **Practice address:** 51221 SCHOENHERR RD, STE 201, SHELBY TOWNSHIP, MI 48315-2708
- **Practice address phone:** (586) 263-3545
- **Practice address fax:** (586) 254-3136
- **Mailing address:** 51221 SCHOENHERR RD, STE 201, SHELBY TOWNSHIP, MI 48315-2708
- **Mailing address phone:** (586) 263-3545
- **Mailing address fax:** (586) 254-3136

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | — | NULL | Yes |
| 208800000X | Urology Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/02/2007
- **Last updated:** 04/20/2008