Lena C Antoski
CHARLES G KISSEL DPM PC


Address: 29433 Ryan Rd, Warren, MI 48092-2203
Phone: 5865740500

Lena C Antoski (NPI# 1861817348, PAC ID# 2860611001) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1861817348
PAC ID by PECOS 2860611001
Professional Enrollment ID I20140919001504
Full Name Lena C Antoski
Organization Legal Name CHARLES G KISSEL DPM PC
Address 29433 Ryan Rd
Warren
MI 48092-2203
Phone Number 5865740500
Gender F
Graduation Year 2013
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 9436167814
Number of Group Practice Members 5
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
230130 BEAUMONT HOSPITAL, ROYAL OAK
230269 BEAUMONT HOSPITAL, TROY

Other Locations

Address Phone Organization
29433 Ryan Rd, Warren, MI 48092-2203 5865740500 CHARLES G KISSEL DPM PC

Organization Information

Organization Legal Name CHARLES G KISSEL DPM PC
Physicians 1

Office Location

Street Address 29433 RYAN RD
City WARREN
State MI
Zip 48092-2203

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Sheila J Eaton Psychologist, Clinical 6200 Chicago Rd, Suite C, Warren, MI 48092-1682
Laura Gross Clinical Social Worker Prestige Creative Arts Therapy LLC 6655 Chicago Rd, Suite 1, Warren, MI 48092-1685
Michael B Kraemer Maxillofacial Surgery Summit Oral and Maxillofacial Surgery PC 29427 Ryan Rd, Warren, MI 48092-2203
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Competitor

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City WARREN
Zip Code 48092
Specialty NURSE PRACTITIONER
City + Specialty WARREN + NURSE PRACTITIONER

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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