Individual
EVANGELINE A ANCHETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
609 QUARTER ST, GLADWIN, MI 48624-1941
(989) 246-6371
(989) 246-6330
Mailing address
609 QUARTER ST, GLADWIN, MI 48624-1941
(989) 246-6371
(989) 246-6330
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
EA037604
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0802610352
BCBS - PIN
MI
05
—
3374210
—
MI
05
—
4251887
—
MI
Enumeration date
07/13/2006
Last updated
09/07/2012
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