Organization
ANDREW M AGOSTA MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW M AGOSTA MD (PRESIDENT)
(586) 263-3545
Entity
Organization
Contact information
Practice address
51221 SCHOENHERR RD, STE 201, SHELBY TOWNSHIP, MI 48315-2708
(586) 263-3545
(586) 254-3136
Mailing address
51221 SCHOENHERR RD, STE 201, SHELBY TOWNSHIP, MI 48315-2708
(586) 263-3545
(586) 254-3136
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1002931963
—
MI
01
—
1605094691
BLUE CROSS BLUE SHIELD
MI
Enumeration date
04/02/2007
Last updated
04/20/2008
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