# TG DO PC

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

## Provider details

- **NPI number:** 1306042197
- **Authorized official:** THOMAS GIANCARLO (PRESIDENT, TG DO PC)
- **Authorized official phone:** (586) 445-9900

## Contact information

- **Practice address:** 19699 E 8 MILE RD, SAINT CLAIR SHORES, MI 48080-1655
- **Practice address phone:** (586) 445-9900
- **Mailing address:** 19699 E 8 MILE RD, SAINT CLAIR SHORES, MI 48080-1655
- **Mailing address phone:** (586) 445-9900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084D0003X | Diagnostic Neuroimaging (Psychiatry & Neurology) Physician | 5101008581 | MI | Yes |

## Other

- **Enumeration date:** 06/27/2007
- **Last updated:** 08/22/2020