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Individual
ANDRIS ANTONISKIS
Active
Individual
ANDRIS ANTONISKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD10115
OR
207RA0401X
Addiction Medicine (Internal Medicine) Physician
MD10115
OR
Other
Enumeration date
07/19/2005
Last updated
11/07/2014
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