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NPI Code Detail

MEDICARE: ANTHONY J FIERRO

MEDICARE:   ANTHONY J FIERRO
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
11041C0700XClinical Social Worker6801120756MI

General Provider Information

NPI Number : 1821258526
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANTHONY J FIERRO
Provider Business Mailing Address
First Line : 30745 RED MAPLE LN
Second Line :
City : SOUTHFIELD
State : MI
Zip : 48076-5354
Country : US
Telephone Number : 313-473-0778
Fax Number :
Provider Business Practice Location Address
First Line : 30745 RED MAPLE LN
Second Line :
City : SOUTHFIELD
State : MI
Zip : 48076-5354
Country : US
Telephone Number : 313-473-0778
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2008
Last Update Date : 09/10/2025

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Directions to “ ANTHONY J FIERRO ” Practice Location

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