Individual
DR. ANITA BRIDGET SEBASTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
6116 NORTHLAND DR NE, ROCKFORD, MI 49341
(616) 259-6100
(616) 259-5730
Mailing address
6116 NORTHLAND DR NE, ROCKFORD, MI 49341
(616) 259-6100
(616) 259-5730
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
OT011300
PA
208000000X
Pediatrics Physician
Primary
5101020661
MI
Other
Enumeration date
05/04/2009
Last updated
12/27/2024
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