Organization
ADULT DIABETES & ENDOCRINE CONSULTANTS, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE FABELLO-GAMIAO MD (OWNER)
(734) 462-1940
Entity
Organization
Contact information
Practice address
37650 PROFESSIONAL CENTER DR, SUITE 100A, LIVONIA, MI 48154-1197
(734) 462-1940
(734) 462-1960
Mailing address
37650 PROFESSIONAL CENTER DR, SUITE 100A, LIVONIA, MI 48154-1197
(734) 462-1940
(734) 462-1960
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
4301060039
MI
Other
Enumeration date
11/11/2006
Last updated
04/20/2008
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