Organization
ANTHONY J. BIANCHI DPM P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY J BIANCHI DPM (PRESIDENT)
(810) 824-1376
Entity
Organization
Contact information
Practice address
3566 CONNIE LN, FORT GRATIOT, MI 48059-4103
(810) 824-1376
Mailing address
3566 CONNIE LN, FORT GRATIOT, MI 48059-4103
(810) 824-1376
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
5901001442
MI
213ES0131X
Foot Surgery Podiatrist
5901001442
MI
332B00000X
Durable Medical Equipment & Medical Supplies
5901001442
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2886017
—
MI
Enumeration date
03/05/2008
Last updated
09/21/2022
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