Individual
DR. ANTHONY JOHN AFFATATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
15855 19 MILE RD, CLINTON TOWNSHIP, MI 48038-3504
(586) 263-2977
Mailing address
15855 19 MILE RD, CLINTON TOWNSHIP, MI 48038-3504
(586) 263-2977
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101010476
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2660637
—
MI
Enumeration date
10/19/2006
Last updated
04/12/2021
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