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Individual

DR. ANDREW GUGLIELMI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
D100 CLINICAL CTR, EAST LANSING, MI 48824-1313
(517) 353-5053
(517) 432-4394
Mailing address
D128 W FEE HALL, EAST LANSING, MI 48824-1315
(517) 355-3503
(517) 432-1167

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
342083
NY
2085R0202X
Diagnostic Radiology Physician
Primary
5101018055
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1417162819
MI
Enumeration date
05/11/2007
Last updated
05/01/2026
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