Individual
MR. ANTHONY L REDENTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
7967 HALLIE DR, YPSILANTI, MI 48198-7606
(734) 482-4677
Mailing address
7967 HALLIE DRIVE, YPSILANTI, MI 48198-7606
(734) 482-4677
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601002402
MI
Other
Enumeration date
04/07/2006
Last updated
09/19/2012
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