Individual provider · Type 1 NPI

Paul Douglas Santangelo, PA

Surgical Physician Assistant · Detroit, MI

NPI number 1679778971 Active

Practice location

2799 W Grand Blvd
Detroit, MI 48202-2608

Call (313) 916-4102 Map

Mailing address

16835 Fulton Pines Ct
Livonia, MI 48154-6400

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X5601001106 (MI)

Surgical Physician Assistant: Definition to come...

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About NPI 1679778971

Paul Douglas Santangelo, PA's National Provider Identifier is 1679778971, issued on Jun 18, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Detroit, MI. The record was last updated on Jul 3, 2015.