SearchMichigan1223S0112X

Anthony Fasi, DDS, MD

NPI 1659690204 · on the registry since 2010 · sole proprietor

Practice

Address
2058 South State Street
Suite 100
Ann Arbor, MI 48104
Phone
(734) 769-5302
Organisation at this address
Michigan Oral And Maxillofacial Surgeons, P.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
25

Registry record

Primary taxonomy
1223S0112X
1223S0112X
Also registered as
390200000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-10-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan