Provider Demographics
NPI:1982676433
Name:ANTON, SALWAN PAUL (DO)
Entity Type:Individual
Prefix:DR
First Name:SALWAN
Middle Name:PAUL
Last Name:ANTON
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:37799 PROFESSIONAL CENTER DR
Mailing Address - Street 2:SUITE 105
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48154-1153
Mailing Address - Country:US
Mailing Address - Phone:734-464-3251
Mailing Address - Fax:734-464-3368
Practice Address - Street 1:37799 PROFESSIONAL CENTER DR
Practice Address - Street 2:SUITE 105
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48154-1153
Practice Address - Country:US
Practice Address - Phone:734-464-3251
Practice Address - Fax:734-464-3368
Is Sole Proprietor?:No
Enumeration Date:2006-02-07
Last Update Date:2014-11-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI5101012315207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI418899911Medicaid
MIH13461Medicare UPIN
MI0H27194008Medicare PIN