| Tg Do Pc | |
|
19699 E 8 Mile Rd Saint Clair Shores MI 48080-1655 | |
| (586) 445-9900 | |
| Not Available |
| Full Name | Tg Do Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Diagnostic Neuroimaging |
| Location | 19699 E 8 Mile Rd, Saint Clair Shores, Michigan |
| Authorized Official Name and Position | Thomas Giancarlo (PRESIDENT, TG DO PC) |
| Authorized Official Contact | 5864459900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tg Do Pc 19699 E 8 Mile Rd Saint Clair Shores MI 48080-1655 Ph: (586) 445-9900 | Tg Do Pc 19699 E 8 Mile Rd Saint Clair Shores MI 48080-1655 Ph: (586) 445-9900 |
| NPI Number | 1306042197 |
|---|---|
| Provider Enumeration Date | 06/27/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306042197 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084D0003X | Psychiatry & Neurology - Diagnostic Neuroimaging | 5101008581 (Michigan) | Primary |
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