Organization
EASTPOINTE INTERNISTS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOMINIC A CUSUMANO III MD (OWNER)
(586) 573-6669
Entity
Organization
Contact information
Practice address
28295 SCHOENHERR RD, STE C, WARREN, MI 48088-4300
(586) 573-6669
(586) 573-6667
Mailing address
28295 SCHOENHERR RD, STE C, WARREN, MI 48088-4300
(586) 573-6669
(586) 573-6667
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301407063
MI
208600000X
Surgery Physician
4301047282
MI
208600000X
Surgery Physician
4301049997
MI
363A00000X
Physician Assistant
5601003403
MI
363A00000X
Physician Assistant
5601003884
MI
363A00000X
Physician Assistant
5601003978
MI
Other
Enumeration date
08/29/2006
Last updated
11/10/2014
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