person
Vicki Maria Antonathens, DPM
Foot Surgery Podiatrist in Brownstown Twp, Michigan
NPI 1407852510

Vicki Maria Antonathens is a Foot Surgery Podiatrist based in Brownstown Twp, MI and is specialized in Foot Surgery. Vicki Maria Antonathens practices in Brownstown Twp, MI and has the professional credentials of DPM. The NPI Number for Vicki Maria Antonathens is 1407852510 and holds a License No. 5901001086 (Michigan).

The current practice location address for Vicki Maria Antonathens is 19723 Allen Rd, Brownstown Twp, MI and can be reached out via phone at 734-479-8383 and via fax at 734-479-8382.

Location: 19723 Allen Rd, Brownstown Twp, MI, 48183-1021
person
Provider Profile Details
NPI Number
1407852510
Provider Name
Vicki Maria Antonathens
Credential
DPM
Provider Entity Type
Individual
Gender
Female
Address
19723 Allen Rd, Brownstown Twp, MI, 48183-1021
Phone Number
734-479-8383
Fax Number
734-479-8382
Provider Enumeration Date
06/23/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1701904 05 MI
institution
Provider Business Practice Location Address Details
Address
19723 Allen Rd
City
State
Zip
48183-1021
Phone Number
734-479-8383
Fax Number
734-479-8382
person
Provider Business Mailing Address Details
Address
19723 Allen Rd
City
State
Zip
48183-1021
Phone Number
734-479-8383
Fax Number
734-479-8382
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
License No.
5901001086 (Michigan)
Definition
Definition to come...
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