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1780639179
ANTHONY SOUTHALL
SOUTHFIELD, MI
NPI
1780639179
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: MI 4301034628)
Enumeration Date
2006-05-23
Last Update Date
2007-07-08
Business Address
ANTHONY SOUTHALL MD
18161 W 13 MILE RD SUITE A-2
SOUTHFIELD, MI 48076-1113
Phone number: 248-642-9893
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Mailing Address
ANTHONY SOUTHALL MD
18161 W 13 MILE RD SUITE A-2
SOUTHFIELD, MI 48076-1113
Phone number: 248-642-9893
Copy
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