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David Giancola III, P.A.

Physician Assistant in Sterling Heights, MI. Individual provider (NPI-1).

NPI number1013466705
StatusActive
Last updated in NPPESOct 18, 2016

Details

NPI
1013466705
Entity type
Individual (NPI-1)
Name
David Giancola III
Credential
P.A.
Sex
Male
Sole proprietor
Yes
Enumeration date
Sep 23, 2016
Last updated
Oct 18, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant5601007956MIYes

Practice location

2405 E 14 Mile Rd
Sterling Heights, MI 48310-5961

Phone 586-264-1800 · Fax 586-264-1155

Mailing address

2405 E 14 Mile Rd
Sterling Heights, MI 48310-5961

Phone 586-264-1800 · Fax 586-264-1155

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