Individual
DR. JUDITH ANTENUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
160 S OLD WOODWARD AVE, BIRMINGHAM, MI 48009
(248) 724-1900
(248) 723-1900
Mailing address
160 S OLD WOODWARD AVE, BIRMINGHAM, MI 48009-6101
(248) 723-1900
(248) 723-8109
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004027
MI
Other
Enumeration date
02/12/2007
Last updated
06/03/2019
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