Dr Corazon Garcia Antonio, MD | |
2399 E Walton Blvd, Auburn Hills, MI 48326-1955 | |
(248) 475-2168 | |
(248) 475-6403 |
Full Name | Dr Corazon Garcia Antonio |
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Gender | Female |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 2399 E Walton Blvd, Auburn Hills, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1689607582 | NPI | - | NPPES |
268422500 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | A37362 (California) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | 01029237A (Indiana) | Primary |
Entity Name | State Of Michigan Office Of Financial Management |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508883299 PECOS PAC ID: 5496650723 Enrollment ID: O20040114000603 |
Mailing Address | Practice Location Address |
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Dr Corazon Garcia Antonio, MD Po Box 809, Goshen, IN 46527-0809 Ph: (574) 533-1234 | Dr Corazon Garcia Antonio, MD 2399 E Walton Blvd, Auburn Hills, MI 48326-1955 Ph: (248) 475-2168 |
Dr. Lisa Catherine Gates, DO Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2251 N Squirrel Rd Ste 320, Auburn Hills, MI 48326 Phone: 517-882-3732 | |
Venkata R Jasty, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1525 University Dr, Auburn Hills, MI 48326 Phone: 586-484-7159 Fax: 248-385-5771 | |
Dr. Robert L Lawton, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1270 Doris Rd, Auburn Hills, MI 48326 Phone: 248-276-8000 Fax: 248-276-9280 |