Individual
DR. ANTHONY PETER DI PONIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5220 HIGHLAND RD STE 230, WATERFORD, MI 48327-1973
(248) 254-8900
Mailing address
5220 HIGHLAND RD STE 230, WATERFORD, MI 48327-1973
(248) 254-8900
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
5101028420
MI
207Y00000X
Otolaryngology Physician
5151014447
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2020
Last updated
06/25/2025
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