Individual
ANTHONY STALLION
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3535 W 13 MILE RD STE 307, ROYAL OAK, MI 48073-6770
(248) 551-2400
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
(947) 522-4352
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
2013-01542
NC
2086S0120X
Pediatric Surgery Physician
35060022S
OH
2086S0120X
Pediatric Surgery Physician
Primary
4301063442
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0803198
—
OH
05
—
1265499206
—
NC
05
—
Q0154E
—
SC
Enumeration date
04/26/2006
Last updated
10/31/2024
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