Individual
DR. ANTHONY DELISE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30695 LITTLE MACK AVE STE 200, ROSEVILLE, MI 48066-1781
(586) 294-9600
Mailing address
30695 LITTLE MACK AVE STE 200, ROSEVILLE, MI 48066-1781
(586) 294-9600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301509897
MI
Other
Enumeration date
05/03/2021
Last updated
06/20/2024
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