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Individual

ANTHONY DE BARI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
900 COOPER AVE STE 4400, SAGINAW, MI 48602-5182
(989) 583-4401
(989) 583-4409
Mailing address
1447 N HARRISON ST, SAGINAW, MI 48602-4727
(989) 793-1372
(989) 793-2585

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4301055237
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0735237
BLUE CROSS BLUE SHIELD OF
MI
01
200023350
RAILROAD MEDICARE
MI
05
3153710
MI
Enumeration date
04/10/2006
Last updated
10/16/2017
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