Individual
MICHAEL WAIT ANTZIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1800 JOHN F KENNEDY BLVD STE 888, PHILADELPHIA, PA 19103-7406
(215) 382-6680
Mailing address
4025 CHESTNUT ST FL 1, PHILADELPHIA, PA 19104-3054
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD473306
PA
Other
Enumeration date
05/03/2018
Last updated
07/25/2022
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