| Organization Name: | ALFONSO G LLANTO MD PC |
| NPI Number: | 1750484556 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOSEPHINE A LLANTO (OFFICE MANAGER) |
| Mailing Address: | 3973 M 140 Watervliet |
| State: | MI US |
| Postal Code: | 49098 |
| Phone Number: | 2694635711 |
| Fax Number: | 2694632885 |
| NPI Enumeration Date: | 09/07/2006 |
| NPI Last Update Date: | 06/23/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | AL038737 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |