Individual
DR. AUDBERTO CESAR ANTONINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7901 ANGLING RD, PORTAGE, MI 49024-0714
(269) 226-8253
(269) 226-8190
Mailing address
203 CONCORD DR, CANTON, MI 48188-5284
(734) 398-5412
(734) 398-5412
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301062716
MI
Other
Enumeration date
10/01/2007
Last updated
10/01/2007
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