Organization
AEGIS MEDICAL PLLC
Active
Organization
AEGIS MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER JOSEPH FARAGO III (OWNER)
(888) 849-1080
Entity
Organization
Contact information
Practice address
17888 MACK AVE, GROSSE POINTE, MI 48230-6234
(888) 849-1080
Mailing address
17888 MACK AVE, GROSSE POINTE, MI 48230-6234
(313) 670-1515
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
06/06/2023
Last updated
06/08/2026
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