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1952890519
MICHAEL DOMINIC PEZZILLO
DETROIT, MI
NPI
1952890519
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2018-05-08
Last Update Date
2022-06-28
Business Address
MICHAEL DOMINIC PEZZILLO MD
3031 W GRAND BLVD
DETROIT, MI 48202-3046
Phone number: 313-916-1023
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Mailing Address
MICHAEL DOMINIC PEZZILLO MD
3031 W GRAND BLVD
DETROIT, MI 48202-3046
Phone number: 313-916-1023
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