Individual
ANTHONY L ALCANTARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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