ANTONIO LOPEZ

GRAND RAPIDS, MI
NPI1083820203
Professional NameANTONIO LOPEZ CASTANEDA
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
163W00000X Registered Nurse
(Licence: MI  4704289261)
Enumeration Date2007-05-15
Last Update Date2021-06-12
Business Address
Mr. ANTONIO LOPEZ MD
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503-2560
Phone number: 616-486-6790
Mailing Address
Mr. ANTONIO LOPEZ MD
1525 CLARK ST
DETROIT, MI 48209-2136
Phone number: