NPI 1083410088

Anthony Anderson

Practitioner Private Vehicle Detroit, MI

Practice location

Address: 5343 Spokane St, Detroit, MI 48204-5026
Phone: (313) 220-2768

Registered specialties

Private Vehicle Primary

Transportation Services Taxonomy 347C00000X

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Registry record

NPI: 1083410088
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Feb 2025
Record last updated: 20 Feb 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.