Individual
ANTONIO MOTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2689
(313) 916-7474
(313) 916-8470
Mailing address
16221 MANSFIELD ST, DETROIT, MI 48235-3630
(313) 475-0592
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
509495
MI
Other
Enumeration date
05/20/2019
Last updated
05/20/2019
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