Provider Demographics
NPI:1982042511
Name:FALSETTO, TESSIA MARIE YOUNG (MD)
Entity Type:Individual
Prefix:DR
First Name:TESSIA
Middle Name:MARIE YOUNG
Last Name:FALSETTO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4201 ST. ANTOINE STREET
Mailing Address - Street 2:UHC - 9C
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48201
Mailing Address - Country:US
Mailing Address - Phone:248-581-5900
Mailing Address - Fax:248-581-5647
Practice Address - Street 1:4201 ST. ANTOINE STREET
Practice Address - Street 2:UHC - 9C
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48201
Practice Address - Country:US
Practice Address - Phone:248-581-5900
Practice Address - Fax:248-581-5647
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-05
Last Update Date:2014-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program