Individual
ANTHONY B SONGCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4031 S CUSTER RD, MONROE, MI 48161-9775
(734) 241-2362
(734) 777-9065
Mailing address
4031 S CUSTER RD, MONROE, MI 48161-9775
(734) 241-2362
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301045431
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1621287
—
MI
Enumeration date
10/04/2006
Last updated
09/20/2019
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