Organization
ANFAIR MEDICAL SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY W FAIRCLOUGH MD (PRESIDENT)
(248) 738-7017
Entity
Organization
Contact information
Practice address
461 W HURON ST, PONTIAC, MI 48341-1601
(248) 738-7017
(248) 738-7027
Mailing address
261 MARLBOROUGH DR, BLOOMFIELD HILLS, MI 48302-0645
(248) 738-7017
(248) 738-7027
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301036119
MI
207RG0100X
Gastroenterology Physician
4301036119
MI
Other
Enumeration date
07/27/2010
Last updated
11/10/2010
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