Individual provider · Type 1 NPI

Marco Antonio Yanes Anzola, MD

Student in an Organized Health Care Education/Training Program · Southfield, MI

NPI number 1013845825 Active

Practice location

22250 Providence Drive, 7PMB Suite #703A
Southfield, MI 48075-4818

Call (248) 849-5862 Map

Fax (248) 849-8117

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

19 other providers at this address

Other student in an organized health care education/training program providers in Southfield

See all in Southfield →

About NPI 1013845825

Marco Antonio Yanes Anzola, MD's National Provider Identifier is 1013845825, issued on May 12, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Southfield, MI. The record was last updated on May 12, 2026.