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Concetta Formica

NPI 1588328116 · on the registry since 2021

Practice

Address
11743 15 Mile Rd
Sterling Heights, MI 48312
Phone
(586) 979-3100
Organisation at this address
Perry Drug Stores Inc And Subsidiaries
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
183700000X
183700000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-10-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan