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1992371009
VITO MATTEO AGRUSA
SOUTHGATE, MI
NPI
1992371009
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MI 5101027836)
Enumeration Date
2021-05-29
Last Update Date
2024-07-12
Business Address
VITO MATTEO AGRUSA DO
14319 DIX TOLEDO RD
SOUTHGATE, MI 48195-2506
Phone number: 734-285-0677
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Mailing Address
VITO MATTEO AGRUSA DO
26901 BEAUMONT BLVD STE 3D
SOUTHFIELD, MI 48033-3849
Phone number: 947-522-1863
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