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1154396158
MICHAEL THOMAS CORACI
ROYAL OAK, MI
NPI
1154396158
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: MI 5601003385)
Enumeration Date
2006-02-22
Last Update Date
2020-10-21
Business Address
Mr. MICHAEL THOMAS CORACI PAC
3601 W 13 MILE RD
ROYAL OAK, MI 48073-6712
Phone number: 248-898-6064
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Mailing Address
Mr. MICHAEL THOMAS CORACI PAC
PO BOX 250575
FRANKLIN, MI 48025-0575
Phone number: 586-202-2432
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