Individual
MICHAEL ANTHONY DIGIORGIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2490 S 11TH ST, KALAMAZOO, MI 49009-2175
(269) 343-1535
Mailing address
22455 MCPHALL RD, ARMADA, MI 48005-1433
(586) 651-1015
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601008774
MI
Other
Enumeration date
10/06/2018
Last updated
10/06/2018
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