Individual
DR. ALBERT A DEPOLO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
809 E. MICHIGAN AVE., GRAYLING, MI 49738
(989) 348-6610
(989) 348-2723
Mailing address
809 E. MICHIGAN AVE., GRAYLING, MI 49738
(989) 348-6610
(989) 348-2723
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
5101007832
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111768805
—
MI
Enumeration date
04/14/2006
Last updated
02/11/2016
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