NPI 1851659387 · live from the CMS NPI Registry
Michael Louis Antolini
Family Medicine in Fayetteville, WV. National Provider Identifier 1851659387, active.
NPI record
| NPI | 1851659387 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 5493 Maple Ln, Fayetteville, WV 25840 |
| Practice phone | 304-469-3334 |
| Mailing address | 252 Rural Acres Dr, Beckley, WV 25801 |
| Enumerated | May 3, 2012 |
| Last updated | January 9, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | 2767 (WV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.