Stephen Andrew Antonucci M.D.

NPI 1124331426 - Internal Medicine - 207R00000X

NPI Details
NPI 1124331426
Gender Male
Enumeration Date 07/15/2010
Last Updated 07/15/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
46347 ACADEMY DR
PLYMOUTH MI, 48170-3519, US
Phone (734) 330-4321
Fax
Business Location
46347 ACADEMY DR
PLYMOUTH MI, 48170-3519, US
Phone (734) 330-4321
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Michigan
License Number 5315046971
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According to our database, Dr. Stephen Andrew Antonucci M.D. NPI is 1124331426, taxonomy code is 207R00000X and license number is 5315046971, license state is located at Michigan. Stephen Andrew Antonucci M.D. physically located at 46347 Academy Dr, Plymouth MI, 48170-3519. NPI Number Stephen Andrew Antonucci M.D. has the Individual type.

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1124331426 NPI number is provided on an as is basis without warranty of any kind. 1124331426 is maintained by the National Plan & Provider Enumeration System. The contents of Stephen Andrew Antonucci M.D. are for informational purposes only.