Anthony Paniccia MD

NPI 1891761821 - Family Medicine - 207Q00000X

NPI Details
NPI 1891761821
Gender Male
Enumeration Date 02/28/2006
Last Updated 12/06/2007
Entity Type Individual
Active Over 12 years ago
Practice Location
19901 E 10 MILE RD
ST CLAIR SHORES MI, 48080-1069, US
Phone (586) 777-1277
Fax (586) 777-0106
Business Location
CLINTON TWP MI, 48038-1136, US
Phone (800) 848-0202
Fax (586) 226-6949
Taxonomy Code 207Q00000X
License State Michigan
License Number 4301070278
Remove 1891761821 NPI Number

According to our database, Anthony Paniccia MD NPI is 1891761821, taxonomy code is 207Q00000X and license number is 4301070278, license state is located at Michigan. Anthony Paniccia MD physically located at 19901 E 10 Mile Rd, St Clair Shores MI, 48080-1069. NPI Number Anthony Paniccia MD has the Individual type.

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1891761821 NPI number is provided on an as is basis without warranty of any kind. 1891761821 is maintained by the National Plan & Provider Enumeration System. The contents of Anthony Paniccia MD are for informational purposes only.