person
Dr. Annette L Aquino, DO
General Practice Physician in Eastpointe, Michigan
NPI 1922094341

Annette L Aquino is a General Practice Physician based in Eastpointe, MI. Annette L Aquino practices in Eastpointe, MI and has the professional credentials of DO. The NPI Number for Annette L Aquino is 1922094341 and holds a License No. AS014643 (Michigan).

The current practice location address for Annette L Aquino is 24901 Kelly Rd, Eastpointe, MI and can be reached out via phone at 586-772-9055 and via fax at 586-772-0543.

Location: 24901 Kelly Rd, Eastpointe, MI, 48021-1384
person
Provider Profile Details
NPI Number
1922094341
Provider Name
Annette L Aquino
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
24901 Kelly Rd, Eastpointe, MI, 48021-1384
Phone Number
586-772-9055
Fax Number
586-772-0543
Provider Enumeration Date
09/21/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1922094341 05 MI
383397259 01 MI TAX INDENTIFICATION
institution
Provider Business Practice Location Address Details
Address
24901 Kelly Rd
City
State
Zip
48021-1384
Phone Number
586-772-9055
Fax Number
586-772-0543
person
Provider Business Mailing Address Details
Address
24901 Kelly Rd
City
State
Zip
48021-1384
Phone Number
586-772-9055
Fax Number
586-772-0543
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
AS014643 (Michigan)
Definition
Definition to come...
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