Organization
VICKI ANTON ANTHENS DPM PC
Active
Other names
athens podiatry group
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICKI MARIA ANTONATHENS DPM (PRESIDENT)
(734) 479-8383
Entity
Organization
Contact information
Practice address
19723 ALLEN RD, BROWNSTOWN TWP, MI 48183-1021
(734) 479-8383
(734) 479-8382
Mailing address
19723 ALLEN RD, BROWNSTOWN TWP, MI 48183-1021
(734) 479-8383
(734) 479-8382
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
480H278050
BCBSM
MI
Enumeration date
06/23/2005
Last updated
07/22/2008
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