MEDICARE: FRANK P PILATO PAC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	5601003978	MI

General Provider Information

NPI Number	:	1093707101
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANK P PILATO PAC

Provider Business Mailing Address
First Line	:	5730 MAIN ST
Second Line	:
City	:	LEXINGTON
State	:	MI
Zip	:	48450-8800
Country	:	US
Telephone Number	:	810-359-2605
Fax Number	:	810-359-2748

Provider Business Practice Location Address
First Line	:	5730 MAIN ST
Second Line	:
City	:	LEXINGTON
State	:	MI
Zip	:	48450-8800
Country	:	US
Telephone Number	:	810-359-2605
Fax Number	:	810-359-2748

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2005
Last Update Date	:	11/06/2008

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Directions to “ FRANK P PILATO PAC” Practice Location

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