Individual
ANTOINE DANIELLE GREENM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
19506 PATTON ST, DETROIT, MI 48219-2053
(313) 516-4176
Mailing address
35775 SUSSEX CT, ROMULUS, MI 48174-6335
(313) 995-6238
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
MI
Other
Enumeration date
01/22/2026
Last updated
01/22/2026
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