Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alexander Cole-Selvaggio, ANP-BC

Individual provider Nurse Practitioner · NPI 1053737676

Alexander Cole-Selvaggio, ANP-BC is a Nurse Practitioner in Warren, Michigan. Qualified in 2013, 13 years ago. Practices with Martin Quiroga PC, a 2-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
13
Licensed in
MI
In the registry since
2014

Practice location Address checks out

27101 Schoenherr Rd
Warren, MI 48088-4730
Phone: (586) 758-5800
Fax: (586) 758-5841
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 4704287209 (MI)

Record details

NPI number1053737676
Entity typeIndividual (Type 1)
GenderMale
Credentials ANP-BC
Sole proprietorNo
NPI enumeratedMarch 6, 2014
Last updated in NPPESMarch 6, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Martin Quiroga Pc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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