Individual
PIERO ANTHONY SIMONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
29245 RYAN RD, #100, WARREN, MI 48092
(586) 558-5891
(586) 558-8338
Mailing address
29245 RYAN RD, #100, WARREN, MI 48092
(586) 558-5891
(586) 558-8338
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
4301066663
MI
207W00000X
Ophthalmology Physician
Primary
PS066663
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4397424
—
MI
Enumeration date
07/27/2006
Last updated
03/10/2014
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