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Individual

ANTHONY AENLLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6815 DIXIE HIGHWAY, CLARKSTON, MI 48346
(248) 625-1011
(248) 625-0226
Mailing address
6815 DIXIE HIGHWAY, CLARKSTON, MI 48346
(248) 625-1011
(248) 625-0226

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
AA037536
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2102046
MI
Enumeration date
02/12/2007
Last updated
07/08/2007
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