GARY FAMIGLIETTI

DETROIT, MI
NPI1417076316
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: MI  5601001499)
Enumeration Date2007-03-29
Last Update Date2017-02-27
Business Address
-- GARY FAMIGLIETTI PA-C
1560 E MAPLE RD SUITE 400 - CREDENTIALING DEPARTMENT
DETROIT, MI 48201-2013
Phone number: 800-527-6266
Mailing Address
-- GARY FAMIGLIETTI PA-C
4100 JOHN R ST
DETROIT, MI 48201-2013
Phone number: 800-527-6266