Individual
MICHAEL LOUIS ANTOLINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5493 MAPLE LN, FAYETTEVILLE, WV 25840-6872
(304) 469-3334
(304) 465-1735
Mailing address
252 RURAL ACRES DR, BECKLEY, WV 25801-3503
(304) 253-2628
(304) 252-1720
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2767
WV
Other
Enumeration date
05/03/2012
Last updated
01/09/2025
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