Individual
NICHOLAS JAMES CORIASSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
5101025590
MI
207RI0011X
Interventional Cardiology Physician
Primary
5101025590
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2017
Last updated
06/14/2024
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