Individual
FADI ANTAKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4646 JOHN R ST, DETROIT, MI 48201-1916
(313) 576-1000
Mailing address
580 W COLLEGE AVE, MARQUETTE, MI 49855-2736
(906) 225-7188
(906) 225-7783
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
228347
MA
207RG0100X
Gastroenterology Physician
Primary
4301075826
MI
Other
Enumeration date
09/21/2006
Last updated
01/26/2018
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