Provider Demographics
NPI:1285783225
Name:SANTA ANA, JOHN R (DO)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:R
Last Name:SANTA ANA
Suffix:
Gender:
Credentials:DO
Other - Prefix:DR
Other - First Name:JOHN
Other - Middle Name:R
Other - Last Name:SANTA ANA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:355 BARCLAY CIR STE A
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48307-5816
Mailing Address - Country:US
Mailing Address - Phone:248-216-1008
Mailing Address - Fax:855-711-5063
Practice Address - Street 1:355 BARCLAY CIR STE A
Practice Address - Street 2:
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48307-5816
Practice Address - Country:US
Practice Address - Phone:248-216-1008
Practice Address - Fax:855-711-5063
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101017896208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation