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Individual

ANTHONY G FANT JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4218 BURTON ST SE, GRAND RAPIDS, MI 49546-6121
(616) 726-1985
Mailing address
4218 BURTON ST SE, GRAND RAPIDS, MI 49546-6121
(616) 210-6585

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
F530-067275990
MI

Other

Enumeration date
12/30/2025
Last updated
01/09/2026
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