# ADULT DIABETES & ENDOCRINE CONSULTANTS, PLC

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

## Provider details

- **NPI number:** 1568533768
- **Authorized official:** JACQUELINE FABELLO-GAMIAO MD (OWNER)
- **Authorized official phone:** (734) 462-1940

## Contact information

- **Practice address:** 37650 PROFESSIONAL CENTER DR, SUITE 100A, LIVONIA, MI 48154-1197
- **Practice address phone:** (734) 462-1940
- **Practice address fax:** (734) 462-1960
- **Mailing address:** 37650 PROFESSIONAL CENTER DR, SUITE 100A, LIVONIA, MI 48154-1197
- **Mailing address phone:** (734) 462-1940
- **Mailing address fax:** (734) 462-1960

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 4301060039 | MI | Yes |

## Other

- **Enumeration date:** 11/11/2006
- **Last updated:** 04/20/2008