Healthcare Provider Details

I. General information

NPI: 1356384499
Provider Name (Legal Business Name): JOSEPH P CONTINO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2006
Last Update Date: 03/26/2021
Certification Date: 03/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5400 MACKINAW RD
SAGINAW MI
48604-9515
US

IV. Provider business mailing address

1447 N HARRISON ST
SAGINAW MI
48602-4727
US

V. Phone/Fax

Practice location:
  • Phone: 989-583-5060
  • Fax: 989-583-5046
Mailing address:
  • Phone: 989-583-5060
  • Fax: 989-583-5046

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number13517
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberMD066639
License Number StateOR
# 3
Primary TaxonomyY
Taxonomy Code2086X0206X
TaxonomySurgical Oncology Physician
License Number4301111445
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: