Individual
ANTONINO MATINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1031 SUNCREST DR, LAPEER, MI 48446-1136
(810) 664-4870
Mailing address
1031 SUNCREST DR, LAPEER, MI 48446-1136
(810) 664-4870
(810) 538-1597
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601008715
MI
Other
Enumeration date
06/25/2018
Last updated
04/10/2019
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