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NPI Code Detail

MEDICARE: CHERYL A CANTO M.D.

MEDICARE: CHERYL A CANTO M.D.
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
1207Q00000XFamily Medicine Physician4301066771MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1164423216
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHERYL A CANTO M.D.
Provider Business Mailing Address
First Line : 2540 16TH ST
Second Line :
City : PORT HURON
State : MI
Zip : 48060-6405
Country : US
Telephone Number : 810-987-1000
Fax Number : 810-982-1810
Provider Business Practice Location Address
First Line : 2540 16TH ST
Second Line :
City : PORT HURON
State : MI
Zip : 48060-6405
Country : US
Telephone Number : 810-987-1000
Fax Number : 810-982-1810
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2005
Last Update Date : 02/04/2015

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Directions to “ CHERYL A CANTO M.D.” Practice Location

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