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Individual

DR. PETER SANTO ANNYSCHYN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
15123 E WARREN AVE, DETROIT, MI 48224-3030
(313) 886-1111
(313) 886-0223
Mailing address
15123 E WARREN AVE, DETROIT, MI 48224-3030
(313) 886-1111
(313) 886-0223

Taxonomy

Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
2301005955
MI

Other

Enumeration date
07/18/2005
Last updated
07/08/2007
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