Individual
MR. ANTHONY AMICANGELO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
325 E H ST, IRON MOUNTAIN, MI 49801-4760
(906) 774-3300
Mailing address
325 E H ST, IRON MOUNTAIN, MI 49801-4760
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
516221
MI
Other
Enumeration date
06/22/2006
Last updated
07/08/2007
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