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Individual

DR. ANTHONY CHARLES MCCLAFFERTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2689
(313) 805-6162
Mailing address
2799 W GRAND BLVD, DETROIT, MI 48202-2689
(313) 805-6162

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R8785
TX
207RC0000X
Cardiovascular Disease Physician
Primary
4301504328
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
414642501
TX
01
414642502
CSHCN TPI
TX
Enumeration date
05/23/2017
Last updated
07/11/2024
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