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Dr. Michael Thomas Convertino, MD
Student in an Organized Health Care Education/Training Program in Southfield, Michigan
NPI 1811570534

Michael Thomas Convertino is a Student in an Organized Health Care Education/Training Program based in Southfield, MI. Michael Thomas Convertino practices in Southfield, MI and has the professional credentials of MD. The NPI Number for Michael Thomas Convertino is 1811570534 and holds a License No. (Michigan).

The current practice location address for Michael Thomas Convertino is 22250 Providence Dr Ste 301, Southfield, MI and can be reached out via phone at 248-849-3281 and via fax at 248-849-5449.

Location: 22250 Providence Dr Ste 301, Southfield, MI, 48075-4825
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811570534
Provider Name
Michael Thomas Convertino
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
22250 Providence Dr Ste 301, Southfield, MI, 48075-4825
Phone Number
248-849-3281
Fax Number
248-849-5449
Provider Enumeration Date
04/30/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
22250 Providence Dr Ste 301
City
Southfield
State
Michigan
Zip
48075-6211
Phone Number
248-849-3281
Fax Number
248-849-5449
person
Provider Business Mailing Address Details
Address
22250 Providence Dr Ste 301
City
Southfield
State
Michigan
Zip
48075-6211
Phone Number
248-849-3281
Fax Number
248-849-5449
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Michigan)
Definition
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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