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Individual

ANTON A. SHARAPOV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
521 MONROE ST, PETOSKEY, MI 49770-2266
(231) 487-1900
(231) 348-0984
Mailing address
521 MONROE ST, PETOSKEY, MI 49770-2266
(231) 487-1900
(231) 348-0984

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301095918
MI
208600000X
Surgery Physician
51639-20
WI

Other

Enumeration date
09/04/2008
Last updated
11/19/2015
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