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Ronald P D'Agostino DO PC

Family Medicine in Lanse, MI. Organization (NPI-2).

NPI number1548433360
StatusActive
Last updated in NPPESMar 7, 2023

Details

NPI
1548433360
Entity type
Organization (NPI-2)
Legal business name
Ronald P D'Agostino DO PC
Organization subpart
No
Enumeration date
Apr 12, 2008
Last updated
Mar 7, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine5101008281MIYes

Practice location

108 W Eastern Ave
Lanse, MI 49946-1214

Phone 906-524-6366 · Fax 906-524-6014

Mailing address

108 W Eastern Ave
Lanse, MI 49946-1214

Phone 906-524-7121 · Fax 906-524-6014

Authorized official

Ronald P D'Agostino
President/Owner
9065247121

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