Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NELSON ANTONIUK, MD
Active Sole ProprietorNELSON ANTONIUK, MD is a Family Medicine healthcare provider located in PRIEST RIVER, Idaho. NPI 1588609176 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · PRIEST RIVER, ID
Registration Details
- NPI Number
- 1588609176
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 18, 2006 (20.133400811012 yrs)
- Last Updated
- Feb 17, 2022
- Licenses
-
M-13097 (ID)MD00040823 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6509 HIGHWAY 2 STE 101PRIEST RIVER, ID, 838566609Browse ID providers · Browse ZIP 83856
- Phone
- 2084482321
- Fax
- 2084481317
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Emergency Medicine
Other Family Medicine Providers in PRIEST RIVER, ID
| Name | Credential | NPI |
|---|---|---|
| DR. CHARLES R FALTER | D.O. | 1285696047 |
| DR. JEFFREY B FOWLER | D.O. | 1093777856 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.