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1235767856
MICHAEL JAMES VISCONTI
YPSILANTI, MI
NPI
1235767856
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-03-30
Last Update Date
2020-03-30
Business Address
MICHAEL JAMES VISCONTI DO
5333 MCAULEY DR RM 4001
YPSILANTI, MI 48197-1099
Phone number: 734-712-3980
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Mailing Address
MICHAEL JAMES VISCONTI DO
14304 BRANDYWINE RD
STERLING HEIGHTS, MI 48312-5604
Phone number: 586-216-5448
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