Individual
MR. JAMES ANTHONY DITARANTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2122 HEALTH DR SW, WYOMING, MI 49519-9698
(616) 252-6200
Mailing address
5900 BYRON CENTER AVE SW, WYOMING, MI 49519-9606
(616) 252-6200
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
114241
PA
363A00000X
Physician Assistant
Primary
5601007724
MI
363A00000X
Physician Assistant
MA056589
PA
Other
Enumeration date
11/22/2013
Last updated
10/11/2023
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