Individual
ANTONINO G COLOMBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
36267 26 MILE ROAD, SUITE 3, LENOX, MI 48048-3166
(586) 716-1371
(586) 716-4855
Mailing address
36267 26 MILE ROAD, SUITE 3, LENOX, MI 48048-3166
(586) 716-1371
(586) 716-4855
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301082157
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598867491
—
MI
01
—
4301082157
STATE LICENSE
MI
Enumeration date
09/01/2006
Last updated
04/05/2017
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