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Individual

DR. ANTHONY THOMAS DEBENEDET

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5300 ELLIOTT DR, YPSILANTI, MI 48197-8632
(734) 434-6262
(734) 712-2820
Mailing address
5300 ELLIOTT DR, YPSILANTI, MI 48197-8632
(734) 434-6262
(734) 712-2820

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301087860
MI
207RG0100X
Gastroenterology Physician
Primary
4301087860
MI
390200000X
Student in an Organized Health Care Education/Training Program
4301087860
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0810877
BCBSM
MI
Enumeration date
03/23/2007
Last updated
09/09/2025
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