NPI 1376926972 KYLE EDWARD ANTOSIEK D.O. WARREN MI. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Kyle Edward Antosiek - NPI: 1376926972

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: KYLE EDWARD ANTOSIEK
NPI Number: 1376926972
Entity Type Code: Individual (1)
Gender: M
Credentials: D.O.
License Number: 5101022121
Business Practice Address: 12000 E 12 Mile Rd
Warren, MI - 480933570
Business Phone Number: 5865764140
Business Fax Number: 5865734146
Mailing Address: 12000 E 12 Mile Rd,
WARREN
State: MI
Postal Code: 480933570
Phone Number: 5865764140
Fax Number: 5865734146
NPI Enumeration Date: 07/01/2015
NPI Last Update Date: 07/01/2015
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 208D00000X
License Number: 5101022121
Healthcare Provider Taxonomy:
(Secondary)
Y
State: MI
Taxonomy Type: Allopathic & Osteopathic Physicians
Taxonomy Classification: General Practice
Taxonomy Specialization:
Taxonomy Definition:


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