Mark C Antonishen in Boyne City - Internal Medicine
Mark C Antonishen - NPI 1518971654
Mark C Antonishen is a Internal Medicine in Boyne City, Michigan. Mark C Antonishen practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Mark C Antonishen is 1518971654. The last update date is 2018-05-22.
Mark C Antonishen's current location address is 223 N Park St, Boyne City, Michigan. You can contact this provider via phone number 2315828010 and fax number 2315825338. The mailing address for Mark C Antonishen is 223 N Park St, Boyne City, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark C Antonishen |
|---|---|
| Address | 223 N Park St, Boyne City, Michigan |
| Phone Number | 2315828010 |
| Fax Number | 2315825338 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1518971654 |
|---|---|
| Provider Enumeration Date | 2006-07-27 |
| Last Updated Date | 2018-05-22 |
Provider Mailing Address Detail
| Address | 223 N Park St |
|---|---|
| City | Boyne City |
| State | Michigan (MI) |
| Post Code | 497121220 |
| Phone Number | 2315828010 |
| Fax Number | 2315825338 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 4301046169 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 23D0963677 | MI | CLIA | |
| 104102303 | MI | -- | |
| 1102408031 | MI | BCBSM PIN | |
| MA046169 | MI | BS STATE LIC# |
Post Comment/ Review Below
What is the unique identifier code issued to Mark C Antonishen by the Centers for Medicare & Medicaid Services?
The Mark C Antonishen has been assigned the NPI (National Provider Identifier) 1518971654. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Mark C Antonishen is physically located?
The Mark C Antonishen is physically situated at the following address: 223 N Park St, Boyne City, MI, 497121220.
What is the Mark C Antonishen's area of specialization and corresponding taxonomy classification?
The Mark C Antonishen's specialty field is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their specialties.
When was the Mark C Antonishen's 1518971654 issued?
The Mark C Antonishen's 1518971654 was issued on 2006-07-27.
When was the information regarding Mark C Antonishen, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mark C Antonishen, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2018-05-22.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY