Individual
MR. VICTOR D CAVATAIO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
3901 CHRYSLER DR STE 3B, DETROIT, MI 48201-2167
(313) 577-1396
Mailing address
400 MACK AVE, DETROIT, MI 48201-2136
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704328743
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704328743
MI
Other
Enumeration date
09/24/2024
Last updated
12/09/2025
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