Individual
MICHAEL J ANTONINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11795 EDUCATION ST STE 201, AUBURN, CA 95602-2469
(530) 745-0720
(530) 745-0718
Mailing address
PO BOX 255228, SACRAMENTO, CA 95865-5228
(191) 670-8803
(530) 823-0737
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G84850
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0091920
—
CA
Enumeration date
02/01/2007
Last updated
08/21/2024
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