Individual
DR. ANTHONY C MUNACO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
23133 ORCHARD LAKE RD STE 102, FARMINGTON, MI 48336-3278
(248) 476-2420
(248) 478-7680
Mailing address
PO BOX 27420, BELFAST, ME 04915-2026
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
AM041305
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0630324
BCBS
MI
01
—
080028846
MEDICARE RAILROAD
—
01
—
102845
CARE CHOICES PREFERRED CH
—
05
—
1358191
—
MI
01
—
C3286
MCARE
—
Enumeration date
03/24/2006
Last updated
02/03/2021
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