Individual
ANTHONY BERNICCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
275 MICHIGAN ST NE FL 8, GRAND RAPIDS, MI 49503-2531
(616) 391-8810
(616) 391-8897
Mailing address
275 MICHIGAN ST NE FL 8, GRAND RAPIDS, MI 49503-2531
(616) 391-8810
(616) 391-8897
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4351051121
MI
Other
Enumeration date
04/05/2023
Last updated
02/06/2025
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