Individual
MICHAEL ANTHONY D'AGOSTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BSN, RN
Contact information
Practice address
15342 CAMBRIDGE DR, FRASER, MI 48026-2364
(586) 489-7637
Mailing address
15342 CAMBRIDGE DR, FRASER, MI 48026-2364
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704311364
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704311364
MI
Other
Enumeration date
05/29/2023
Last updated
05/01/2025
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