Provider Demographics
NPI:1437481082
Name:CIANTAR, CATHERINE C (DO)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:C
Last Name:CIANTAR
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:C
Other - Last Name:GUIDO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:2330 S MILFORD RD
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48357-4982
Mailing Address - Country:US
Mailing Address - Phone:248-676-9060
Mailing Address - Fax:
Practice Address - Street 1:2330 S MILFORD RD
Practice Address - Street 2:
Practice Address - City:HIGHLAND
Practice Address - State:MI
Practice Address - Zip Code:48357-4982
Practice Address - Country:US
Practice Address - Phone:248-676-9060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-08
Last Update Date:2021-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101018219207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine