Individual
DR. PAOLO MARCIANO AGOSTINELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
INTERVENTIONAL RADIOLOGY, 3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 898-7456
(248) 898-4316
Mailing address
INTERVENTIONAL RADIOLOGY, 3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 898-7456
(248) 898-4316
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2004012738
MO
2085R0204X
Vascular & Interventional Radiology Physician
Primary
4301094023
MI
Other
Enumeration date
03/10/2007
Last updated
02/14/2023
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