Healthcare Provider Details

I. General information

NPI: 1033180161
Provider Name (Legal Business Name): SALVATORE JOHN FINAZZO D.O
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/27/2006
Last Update Date: 03/06/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1651 KINGSWAY CT STE. A
TRENTON MI
48183
US

IV. Provider business mailing address

1651 KINGSWAY CT STE A
TRENTON MI
48183
US

V. Phone/Fax

Practice location:
  • Phone: 734-671-2110
  • Fax: 734-671-5344
Mailing address:
  • Phone: 734-671-2110
  • Fax: 734-671-5344

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License Number510417353
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: