Individual
ADAM NICHOLAS CASSELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
44405 WOODWARD AVE, PONTIAC, MI 48341-5023
(248) 858-3000
Mailing address
44555 WOODWARD AVE STE 308, PONTIAC, MI 48341-5031
(248) 858-6068
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
5101026681
MI
207R00000X
Internal Medicine Physician
5101023883
MI
390200000X
Student in an Organized Health Care Education/Training Program
5101023883
MI
Other
Enumeration date
05/09/2018
Last updated
05/13/2022
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