Anthony S Kasiborski MD PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

ANTHONY S KASIBORSKI MD PC

Practice address

2300 Oak St
Wyandotte, MI 48192-5320

Phone

(734) 284-2470

Fax

(734) 284-9426

NPI assigned

Jun 25, 2009

Last updated

Jun 25, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Anthony S Kasiborski, MD

Title

President

Phone

(734) 284-2470

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245888000000",
    "number": "1497983696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 OAK ST",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481925320",
            "telephone_number": "734-284-2470",
            "fax_number": "734-284-9426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 OAK ST",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481925320",
            "telephone_number": "734-284-2470",
            "fax_number": "734-284-9426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY S KASIBORSKI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-25",
        "last_updated": "2009-06-25",
        "status": "A",
        "authorized_official_last_name": "KASIBORSKI",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-284-2470",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dermatology Physician in Wyandotte, MI
• Providers in Wyandotte, MI by specialty
• Dermatology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.