Organization
TOMAS A MACATANGAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOMAS A MACATANGAY MD (OWNER)
(586) 739-0505
Entity
Organization
Contact information
Practice address
45100 STERRITT ST, UTICA, MI 48317-5843
(586) 739-0505
(586) 739-0012
Mailing address
45100 STERRITT ST, UTICA, MI 48317-5843
(586) 739-0505
(586) 739-0012
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1038657
—
MI
Enumeration date
10/23/2006
Last updated
08/22/2020
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