Individual
MICHAEL ANTONIOLLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4201 SAINT ANTOINE ST, 6G UHC, DETROIT, MI 48201-2153
(313) 993-2530
Mailing address
4201 SAINT ANTOINE ST, 6G UHC, DETROIT, MI 48201-2153
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301101315
MI
Other
Enumeration date
08/01/2012
Last updated
08/01/2012
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