BERRIOS ANTUNA FAMILY PRACTICE, PC
Ambulatory Health at Michigan Ave, Detroit, MI

License number
Michigan 4301088825
Category
Ambulatory Health
Type
Medical Specialty
Owner
Name: DR. EMILIO J BERRIOS-ANTUNA MD
Title: OWNER
Phone: (313) 574-9266
Address
Address
6224 Michigan Ave, Detroit, MI 48210
National Provider ID: 1578702205
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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BERRIOS ANTUNA FAMILY PRACTICE PC

6224 Michigan Ave, Detroit, MI 48210

Registration:
Mar 12, 2009
State ID:
02269P
Business type:
Domestic Professional Service Corporation
Agent:
Emilio Jose Berrios Antuna

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