Judith Antenucci, OD Valid NPI
Individual provider · Optometrist · Birmingham, MI
- NPI
- 1568503332
- Type
- Individual (Type 1)
- Primary specialty
- Optometrist
- Specialty group
- Eye and Vision Services Providers
- Taxonomy code
- 152W00000X
- License number
- 4901004027 (MI)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2007-02-12
- Last updated
- 2019-06-03
Practice location
160 S Old Woodward Ave
Birmingham, MI 48009
(248) 724-1900