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1417076316
GARY FAMIGLIETTI
DETROIT, MI
NPI
1417076316
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: MI 5601001499)
Enumeration Date
2007-03-29
Last Update Date
2017-02-27
Business Address
-- GARY FAMIGLIETTI PA-C
1560 E MAPLE RD SUITE 400 - CREDENTIALING DEPARTMENT
DETROIT, MI 48201-2013
Phone number: 800-527-6266
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Mailing Address
-- GARY FAMIGLIETTI PA-C
4100 JOHN R ST
DETROIT, MI 48201-2013
Phone number: 800-527-6266
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