Taylor R. Consiglio

NPI #1447912415 in Macomb, Michigan

Provider Information

NPI Number: 1447912415
Entity Type: Individual
Name: Taylor R. Consiglio
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Oct 7, 2021
Last Updated: Jan 6, 2023

Practice Location

Address: 18414 COUNTRY CLUB DR
City: Macomb
State: Michigan
ZIP Code: 48042-6217
Phone: (586) 719-8666

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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