Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL JOHN MASTROGIOVANNI, MD
Deactivated Sole ProprietorDR. MICHAEL JOHN MASTROGIOVANNI, MD is a Family Medicine healthcare provider located in STERLING HEIGHTS, Michigan. NPI 1861060246 is deactivated in the NPPES registry. Verify at CMS.
Family Medicine · STERLING HEIGHTS, MI
This NPI has been deactivated.
The record was deactivated on April 28, 2023.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1861060246
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 14, 2021 (1.8712328767123 yrs)
- Last Updated
- May 12, 2023
- Deactivated
- Apr 28, 2023
- License
-
4351050799 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
44250 DEQUINDRE RDSTERLING HEIGHTS, MI, 483141002Browse MI providers · Browse ZIP 48314
- Phone
- 2489640400
- Fax
- 2489640521
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in STERLING HEIGHTS, MI
| Name | Credential | NPI |
|---|---|---|
| EMILY MEI-YUE WENG | MD | 1700882669 |
| ROGER S YIM | DO | 1790781656 |
| DR. ROGER STANLEY HARRIS | D.O. | 1730188269 |
| STEVEN M HUDOCK | MD | 1033109749 |
| DR. JEFFREY S DEITCH | DO | 1386634749 |
| DR. KENNETH J WOLOK | DO | 1194715557 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.