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NPI 1174588511

IndividualActive

Alphonse Santino, MD

NPI 1174588511 · Urology Physician · St Clair Shores, MI

Provider details

NPI number: 1174588511
Entity type: Individual
Primary specialty: Urology PhysicianAllopathic & Osteopathic Physicians
Credential: MD
Sex: Male
Sole proprietor: No
License: 4301025258 (MI)

Practice location

20952 E 12 Mile Rd

Suite 200

St Clair Shores, MI 48081-3200

Phone: (586) 771-4820

Fax: (586) 771-6620

More MI providers

Mailing address

20952 E 12 Mile Rd

St Clair Shores, MI 48081-3200

Registry dates

Enumerated: 2006-04-19
Last updated: 2008-07-28

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Alphonse Santino, MD — NPI 1174588511, St Clair Shores, MI | NPI Central