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Individual

FRANK A BAGNASCO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
44555 WOODWARD, SUITE 507, PONTIAC, MI 48341
(248) 335-8170
(248) 858-3920
Mailing address
44555 WOODWARD, SUITE 507, PONTIAC, MI 48341
(248) 335-8170
(248) 858-3920

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
4301034436
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4150113
MI
Enumeration date
10/03/2006
Last updated
01/08/2008
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