Jacob Mastropaolo, PA-C Valid NPI

Individual provider · Physician Assistant · Novi, MI

NPI

1356940175

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

5601010190 (MI)

Sex

Male

Sole proprietor

No

Enumerated

2020-10-22

Last updated

2021-01-26