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Antonio F Mendiola JR., MD
General Practice Physician in Prescott, Michigan
NPI 1659379915

Antonio F Mendiola JR. is a General Practice Physician based in Prescott, MI. Antonio F Mendiola JR. practices in Prescott, MI and has the professional credentials of MD. The NPI Number for Antonio F Mendiola JR. is 1659379915 and holds a License No. 046416 (Michigan).

The current practice location address for Antonio F Mendiola JR. is 1827 Greenwood Rd, Prescott, MI and can be reached out via phone at 989-873-6200 and via fax at 989-873-5563.

Location: 1827 Greenwood Rd, Prescott, MI, 48756-8626
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659379915
Provider Name
Antonio F Mendiola JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1827 Greenwood Rd, Prescott, MI, 48756-8626
Phone Number
989-873-6200
Fax Number
989-873-5563
Provider Enumeration Date
07/12/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3038010 05 MI
institution
Provider Business Practice Location Address Details
Address
1827 Greenwood Rd
City
Prescott
State
Michigan
Zip
48756-8626
Phone Number
989-873-6200
Fax Number
989-873-5563
person
Provider Business Mailing Address Details
Address
1827 Greenwood Rd
City
Prescott
State
Michigan
Zip
48756-8626
Phone Number
989-873-6200
Fax Number
989-873-5563
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
046416 (Michigan)
Definition
Definition to come...
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