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JOSEPH AQUALINA MD

>> Urology >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1568455566

Individual Registrant:
 JOSEPH  AQUALINA MD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
6275 MEREFORD CT  EAST LANSING, MI 48823-9213 US
Tel: 517-575-0557  Fax: 517-575-0559

Contact information for business:
6275 MEREFORD CT  EAST LANSING, MI 48823-9213 US
Tel: 517-575-0557  Fax: 517-575-0559

Registration Information:
NPI: 1568455566
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y208800000XAllopathic & Osteopathic Physicians
Urology
MIJA026247

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
TRI CARE340019517MI01
RAILROAD MEDICARE340019517MI01
HEALTHPLUS38A48876MI01
4362394MI05
BLULE CROSS340G310500MI01




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