# ANTHONY AENLLE MD PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Clarkston Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801959168
- **Authorized official:** DR. ANTHONY AENLLE MD (PRESIDENT)
- **Authorized official phone:** (248) 625-1011

## Contact information

- **Practice address:** 6815 DIXIE HIGHWAY, CLARKSTON, MI 48346
- **Practice address phone:** (248) 625-1011
- **Practice address fax:** (248) 625-0226
- **Mailing address:** 6815 DIXIE HIGHWAY, CLARKSTON, MI 48346
- **Mailing address phone:** (248) 625-1011
- **Mailing address fax:** (248) 625-0226

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | AA037536 | MI | Yes |

## Other

- **Enumeration date:** 12/18/2006
- **Last updated:** 12/09/2009