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Individual
MR. ANTONIO LOPEZ
Active
Individual
MR. ANTONIO LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
163W00000X
Registered Nurse
4704289261
MI
207R00000X
Internal Medicine Physician
Primary
4301513129
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
MI
Other
Enumeration date
05/15/2007
Last updated
12/19/2025
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