Individual
DR. MICHAEL G ANTIMISIARIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
911 BYPASS RD BLDG A, PIKEVILLE, KY 41501-1689
(606) 430-2201
(606) 218-4651
Mailing address
PO BOX 432, PIKEVILLE, KY 41502-0432
(606) 430-2201
(606) 218-4651
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
37545
KY
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
37545
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64055718
—
KY
Enumeration date
08/12/2006
Last updated
08/02/2022
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