Individual
DR. ANTONELLA RACANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
15855 19 MILE RD, CLINTON TOWNSHIP, MI 48038-3504
(267) 709-5111
Mailing address
15855 19 MILE RD, CLINTON TOWNSHIP, MI 48038-3504
(586) 263-3400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1023114634
MI
207Q00000X
Family Medicine Physician
Primary
5101026312
MI
Other
Enumeration date
07/07/2018
Last updated
06/01/2021
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