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
| Taxonomy | Code | License |
|---|---|---|
| Neurology Physician Primary | 2084N0400X | 4301097930 (MI) |
| Ophthalmology Physician | 207W00000X | 4301097930 (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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- Samantha Rose Cencer, DONeurology Physician Grand Rapids, MI NPI 1114412418
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.