Individual provider · Type 1 NPI

Michael Thomas Convertino, MD

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

NPI number 1811570534 Active

Practice location

22250 Providence Dr Ste 301
Southfield, MI 48075-6211

Call (248) 849-3281 Map

Fax (248) 849-5449

Mailing address

22250 Providence Dr
Southfield, MI 48075-4825

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.

16 other providers at this address

Other student in an organized health care education/training program providers in Southfield

See all in Southfield →

About NPI 1811570534

Michael Thomas Convertino, MD's National Provider Identifier is 1811570534, issued on Apr 30, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Southfield, MI. The record was last updated on Apr 30, 2021.