Individual provider · Type 1 NPI

Aileen Elizabeth M. Ampil Antonio, MD

Neurology Physician · Grand Rapids, MI

NPI number 1982991683 Active

Practice location

245 Cherry St SE, Suite 204
Grand Rapids, MI 49503-4607

Fax (616) 685-3050

Mailing address

1900 44th St SE
Kentwood, MI 49508-5008

Specialties and licenses

TaxonomyCodeLicense
Neurology Physician Primary 2084N0400X4301097930 (MI)
Ophthalmology Physician 207W00000X4301097930 (MI)

Neurology Physician: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

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About NPI 1982991683

Aileen Elizabeth M. Ampil Antonio, MD's National Provider Identifier is 1982991683, issued on Jul 1, 2011. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in Grand Rapids, MI. The record was last updated on Oct 19, 2016.