AUSTIN MICHAEL ANZIVINO

BOLIVIA, NC
NPI1972185775
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: NC  2025-02184)
Enumeration Date2021-04-22
Last Update Date2025-10-21
Business Address
AUSTIN MICHAEL ANZIVINO DO
584 HOSPITAL DR NE UNIT B
BOLIVIA, NC 28422-0020
Phone number: 910-721-4050
Mailing Address
AUSTIN MICHAEL ANZIVINO DO
5178 RUTGERS DR
OMRO, WI 54963-8503
Phone number: