| Airport Family Physicians Llc | |
|
1724 Airport Rd Waterford MI 48327-1390 | |
| (248) 673-5520 | |
| Not Available |
| Full Name | Airport Family Physicians Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1724 Airport Rd, Waterford, Michigan |
| Authorized Official Name and Position | Emilio Antunano (OWNER) |
| Authorized Official Contact | 2486735520 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Airport Family Physicians Llc 1724 Airport Rd Waterford MI 48327-1390 Ph: (248) 673-5520 | Airport Family Physicians Llc 1724 Airport Rd Waterford MI 48327-1390 Ph: (248) 673-5520 |
| NPI Number | 1417130303 |
|---|---|
| Provider Enumeration Date | 12/13/2007 |
| Last Update Date | 12/13/2007 |
| Medicare PECOS PAC ID | 4183611221 |
|---|---|
| Medicare Enrollment ID | O20040429000530 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417130303 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Emilio Antunano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740396688 PECOS PAC ID: 4688661721 Enrollment ID: I20040429000616 |
| Provider Name | Colleen Sheehan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033122577 PECOS PAC ID: 4789671835 Enrollment ID: I20040429000638 |
| Provider Name | Nicole Wendel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326545369 PECOS PAC ID: 2860756087 Enrollment ID: I20180515002755 |
| Provider Name | Erica T Just |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912155284 PECOS PAC ID: 4082884028 Enrollment ID: I20230803004338 |
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