MEDICARE: DR. PETER SANTO ANNYSCHYN D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111NS0005X	Sports Physician Chiropractor	2301005955	MI

General Provider Information

NPI Number	:	1760481261
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PETER SANTO ANNYSCHYN D.C.

Provider Business Mailing Address
First Line	:	15123 E WARREN AVE
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48224-3030
Country	:	US
Telephone Number	:	313-886-1111
Fax Number	:	313-886-0223

Provider Business Practice Location Address
First Line	:	15123 E WARREN AVE
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48224-3030
Country	:	US
Telephone Number	:	313-886-1111
Fax Number	:	313-886-0223

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/18/2005
Last Update Date	:	07/08/2007

Similar Medicare Providers

1386086262 — FAMILY SERVICE INC
Practice Location Address:

3030 FAIRVIEW ST
DETROIT, MI
48214-2215

Practice Phone: 313-866-4500
Practice Fax:

1487381158 — RAKIBA L MITCHELL LPC, NCC
Practice Location Address:

SOUTHEASTERN HIGH SCHOOL , 3030 FAIRVIEW
DETROIT, MI
48214

Practice Phone: 313-866-4500
Practice Fax:

1568238467 — YOUNG ACHIEVERS ADULT DAY CARE CENTER LLC
Practice Location Address:

7315 DETROIT AVE
CLEVELAND, OH
44102-3030

Practice Phone: 216-904-5452
Practice Fax:

1609734409 — LAMESCIA KEY
Practice Location Address:

3921 THREE MILE DR
DETROIT, MI
48224-3605

Practice Phone: 586-229-0002
Practice Fax:

1679431266 — SHARON D EGGLESTON
Practice Location Address:

3841 YORKSHIRE RD
DETROIT, MI
48224-2325

Practice Phone: 313-409-1994
Practice Fax:

1508724741 — 4GEM ENTERPRISES
Practice Location Address:

3918 SOMERSET AVE
DETROIT, MI
48224-3461

Practice Phone: 313-587-7084
Practice Fax:

Directions to “ DR. PETER SANTO ANNYSCHYN D.C.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.