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Individual

DR. ANTHONY J. BIANCHI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
3566 CONNIE LN, FORT GRATIOT, MI 48059-4103
(810) 824-1376
(810) 294-5049
Mailing address
3566 CONNIE LN, FORT GRATIOT, MI 48059-4103
(810) 824-1376
(810) 294-5049

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5901001442
MI
213ES0131X
Foot Surgery Podiatrist
5901001442
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2886017
MI
Enumeration date
08/07/2006
Last updated
10/17/2023
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