Individual
AUSTIN MICHAEL ANZIVINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
584 HOSPITAL DR NE UNIT B, BOLIVIA, NC 28422-0020
(910) 721-4050
Mailing address
5178 RUTGERS DR, OMRO, WI 54963-8503
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2025-02184
NC
Other
Enumeration date
04/22/2021
Last updated
10/21/2025
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