Organization
FRANK BAGNASCO MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANK ANTHONY BAGNASCO MD (PRESIDENT)
(248) 335-8170
Entity
Organization
Contact information
Practice address
44555 WOODWARD AVENUE, SUITE 507, PONTIAC, MI 48341-2935
(248) 335-8170
(248) 858-3920
Mailing address
44555 WOODWARD AVENUE, SUITE 507, PONTIAC, MI 48341-2935
(248) 335-8170
(248) 858-3920
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
FB034436
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104150113
—
MI
01
—
FB034436
LICENSE STATE OF MICHIGAN
MI
Enumeration date
11/14/2005
Last updated
03/07/2023
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