Individual
ANTONIO H NUCUM JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5528 METROPOLITAN PKWY, STERLING HEIGHTS, MI 48310-4105
(586) 795-3232
(586) 795-5540
Mailing address
5528 METROPOLITAN PKWY, STERLING HEIGHTS, MI 48310-4105
(586) 795-3232
(586) 795-5540
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
5101010760
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4732548
—
MI
Enumeration date
08/05/2006
Last updated
10/04/2012
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