Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | 4301088750 | MI |
NPI | 1205056645 |
---|---|
Provider Name | Joseph James Prezzato |
First Address | Farmington Hills, MI 48334-3158 |
Second Address | Farmington Hills, MI 48334-3158 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2007 |
Last Update Date | 17/10/2014 |