NPI 1164620746

Costandinos Tsagaratos, DO

Practitioner Emergency Medicine Physician Clinton Township, MI

Practice location

Address: 15855 19 Mile Rd, Clinton Township, MI 48038-3504
Phone: (586) 263-2601
Fax: (586) 263-2589
Mailing address: 38935 Ann Arbor Road Pec Credentialing Hfm, Livonia, MI 48150-3397

Registered specialties

Emergency Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence 5101020835 (MI)

Other Emergency Medicine providers in Michigan →

Registry record

NPI: 1164620746
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Jul 2007
Record last updated: 26 Oct 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.