Organization · Type 2 NPI

Mark A. Mastellotto

Clinic/Center · Adrian, MI

NPI number 1972211134 Active

Practice location

760 Riverside Ave
Adrian, MI 49221-1445

Call (517) 263-0338 Map

Fax (517) 263-1138

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed
Dental Clinic/Center 261QD0000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

2 other providers at this address

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About NPI 1972211134

Mark A. Mastellotto's National Provider Identifier is 1972211134, issued on Nov 7, 2022. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Adrian, MI. The record was last updated on Nov 7, 2022.