Individual
LEO H ANTRASSIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
20176 LIVERNOIS AVE, DETROIT, MI 48221-1346
(313) 864-7000
Mailing address
15970 CRESCENT AVE, ALLEN PARK, MI 48101-1110
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601008451
MI
Other
Enumeration date
10/10/2017
Last updated
03/25/2026
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