Individual
ALEXANDER COLE-SELVAGGIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ANP-BC
Contact information
Practice address
27101 SCHOENHERR RD, WARREN, MI 48088-4730
(586) 758-5800
(586) 758-5841
Mailing address
27101 SCHOENHERR, WARREN, MI 48088
(586) 758-5800
(586) 758-5841
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704287209
MI
Other
Enumeration date
03/06/2014
Last updated
03/06/2014
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