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Individual

ANTHONY L ALCANTARA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
36175 HARPER AVE, CLINTON TOWNSHIP, MI 48035-3274
(586) 741-3772
(586) 741-4604
Mailing address
36175 HARPER AVE, CLINTON TOWNSHIP, MI 48035-3274
(586) 741-3772
(586) 741-4604

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301054515
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0H26188032
FED BLACK LUNG PROGRAM
01
0Q26008
BCBS PROVIDER NUMBER
MI
01
0Q26008055
FREDERAL BLACK LUNG
01
1006439
MCLAREN HEALTH
MI
05
1194720532
MI
01
143536
GREAT LAKES HEALTH
MI
01
455311710
PRO CARE
MI
01
P00063034
PALMETTO GBA RAILROAD MED
Enumeration date
06/14/2005
Last updated
03/14/2011
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