ANTONIO LOPEZ

DETROIT, MI
NPI1083820203
Professional NameANTONIO LOPEZ CASTANEDA
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: MI  4301513129)
Additional Taxonomies163W00000X Registered Nurse
(Licence: MI  4704289261)
390200000X Student in an Organized Health Care Education/Training Program
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-05-15
Last Update Date2025-04-01
Business Address
Mr. ANTONIO LOPEZ MD
5635 W FORT ST
DETROIT, MI 48209-3154
Phone number: 313-849-3920
Mailing Address
Mr. ANTONIO LOPEZ MD
1525 CLARK ST
DETROIT, MI 48209-2136
Phone number: