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Contact Information

ANTHONY P BRUNETTI, PA-C
23829 LITTLE MACK AVE STE 100
SAINT CLAIR SHORES, MI48080-1186
 Phone: 586-773-1300
 Fax: 586-773-1600
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for ANTHONY P BRUNETTI · (Male)

NPI # 1871145623
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 07/11/2019
Last updated 04/30/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • WV License # 2882
Hospital affiliation(s)
  • HENRY FORD MACOMB HOSPITAL - (Acute Care)
    15855 NINETEEN MILE RD
    CLINTON TOWNSHIP, MI 48038
  • ST JOHN HOSPITAL AND MEDICAL CENTER - (Acute Care)
    22101 MOROSS RD
    DETROIT, MI 48236
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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