Vicki Maria Antonathens
Foot Surgery
19723 Allen Rd Brownstown Twp
Brownstown Twp
, Michigan 48183-1021
Vicki Maria Antonathens
Foot Surgery
19723 Allen Rd Brownstown Twp
Brownstown Twp
, Michigan 48183-1021
(734) 479-8382
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About
Features
Specialties
- Foot Surgery
Languages spoken
- English
Location
First Address
- Vicki Maria Antonathens
- 19723 Allen Rd Brownstown Twp
- Brownstown Twp, MI
- Zip : 48183-1021
- Fax : (734) 479-8382
- Phone : (734) 479-8383
Second Address
- Vicki Maria Antonathens
- 19723 Allen Rd Brownstown Twp
- Brownstown Twp, MI
- Zip : 48183-1021
- Fax : (734) 479-8382
- Phone : (734) 479-8383
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213ES0131X | Foot Surgery | 5901001086 | MI |
National Provider Identifier
| NPI | 1407852510 |
|---|---|
| Provider Name | Vicki Maria Antonathens |
| First Address | Brownstown Twp, MI 48183-1021 |
| Second Address | Brownstown Twp, MI 48183-1021 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/06/2005 |
| Last Update Date | 16/12/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1701904 | (05) | MI |
| T34333 | (02) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.