Individual
DR. ANTHONY MARIO PELACCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
37595 7 MILE RD STE 210, LIVONIA, MI 48152-1489
(734) 853-5690
(734) 430-9388
Mailing address
37595 7 MILE RD STE 210, LIVONIA, MI 48152-1489
(734) 853-5690
(734) 430-9388
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/08/2022
Last updated
07/08/2022
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