TG DO PC
Neurology in Saint Clair Shores, MI

License number
Michigan 5101008581
Category
Neurology
Type
Diagnostic Neuroimaging
Owner
Name: THOMAS GIANCARLO
Title: PRESIDENT, TG DO PC
Phone: (586) 445-9900
Address
Address
19699 Mile Rd, Saint Clair Shores, MI 48080
National Provider ID: 1306042197
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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TG, D.O., PC

Saint Clair Shores, MI

Registration:
Nov 20, 2002
Addresses:
19699 E 8 Mile Rd, Saint Clair Shores, MI 48080 (Physical)
Michigan (Mailing)
State ID:
45202C
Business type:
Domestic Professional Service Corporation
Agent:
Thomas Giancarlo

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