Individual
DR. JOSEPH MONTECALVO III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(800) 653-6568
Mailing address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(800) 653-6568
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
4301119347
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
12/18/2012
Last updated
03/02/2021
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