Individual provider · Type 1 NPI

Andrew Agauleto Fondelli, MD

Student in an Organized Health Care Education/Training Program · Garden City, MI

NPI number 1114834215 Active

Practice location

6245 Inkster Rd
Garden City, MI 48135

Call (734) 458-4319 Map

Fax (734) 458-4496

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1114834215

Andrew Agauleto Fondelli, MD's National Provider Identifier is 1114834215, issued on Aug 25, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Garden City, MI. The record was last updated on Aug 25, 2026.