Individual
ANTHONY JOSEPH AGRUSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5701 BOW POINTE DR STE 100, CLARKSTON, MI 48346
(248) 625-2621
(248) 625-2622
Mailing address
5701 BOW POINTE DR STE 100, CLARKSTON, MI 48346-3199
(248) 625-2621
(248) 625-2622
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101022413
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5101022413
MEDICAL LICENSE NUMBER
MI
Enumeration date
06/24/2016
Last updated
10/30/2019
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