Individual
DR. ANNETTE L AQUINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
24901 KELLY RD, EASTPOINTE, MI 48021-1384
(586) 772-9055
(586) 772-0543
Mailing address
24901 KELLY RD, EASTPOINTE, MI 48021-1384
(586) 772-9055
(586) 772-0543
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
AS014643
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922094341
—
MI
01
—
383397259
TAX INDENTIFICATION
MI
Enumeration date
09/21/2005
Last updated
12/12/2013
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