Individual
DR. STEPHEN ANDREW ANTONUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
46347 ACADEMY DR, PLYMOUTH, MI 48170-3519
(734) 330-4321
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
(858) 249-6748
(619) 543-3183
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A143234
CA
208M00000X
Hospitalist Physician
Primary
A143234
CA
Other
Enumeration date
07/15/2010
Last updated
04/21/2017
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