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Individual

DR. EMILIO E. ANTUNANO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1724 AIRPORT RD, WATERFORD, MI 48327-1390
(248) 673-5520
(248) 673-1145
Mailing address
1724 AIRPORT RD, WATERFORD, MI 48327-1390
(248) 673-5520
(248) 673-1145

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
405574
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4089892
MI
Enumeration date
08/22/2006
Last updated
12/07/2009
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