Organization
KYLE ANTOSIEK DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYLE ANTOSIEK DO (OWNER)
(586) 630-6551
Entity
Organization
Contact information
Practice address
5680 BOW POINTE DR STE 102, CLARKSTON, MI 48346-5407
(248) 221-1845
(833) 645-2176
Mailing address
5680 BOW POINTE DR STE 102, CLARKSTON, MI 48346-5407
(248) 221-1845
(833) 645-2176
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
03/23/2022
Last updated
07/25/2022
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