Anthony Mastrogiacomo, D.P.M

NPI 1720055387 · on the registry since 2006

Practice

Address: 22245 Pontiac Trl
South Lyon, MI 48178
Phone: (248) 486-8886
Fax: (248) 486-8887
Organisation at this address: South Lyon Foot & Ankle Specialists, P.C.
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 213E00000X
213E00000X
Also registered as: 213ES0103X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2008-02-26

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