Individual
MRS. ANITA LUCIA ANTONIOLLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4967 CROOKS RD STE 210, TROY, MI 48098-5804
(248) 687-7300
Mailing address
29992 NORTHWESTERN HWY STE C, FARMINGTON HILLS, MI 48334-3292
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
35080460
OH
208600000X
Surgery Physician
Primary
4301061661
MI
Other
Enumeration date
12/08/2006
Last updated
03/06/2025
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