Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANTILISHIA O'BANNON, CRANIAL PROSTHESIS
Active Sole ProprietorANTILISHIA O'BANNON, CRANIAL PROSTHESIS is a Prosthetic/Orthotic Supplier healthcare provider located in SOUTHFIELD, Michigan. NPI 1760243661 is currently active in the NPPES registry. Verify at CMS.
Prosthetic/Orthotic Supplier · SOUTHFIELD, MI
Registration Details
- NPI Number
- 1760243661
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 17, 2024 (2.5952852977015 yrs)
- Last Updated
- Jan 17, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
25140 LAHSER RD STE 212SOUTHFIELD, MI, 480336200Browse MI providers · Browse ZIP 48033
- Phone
- 3134522662
- Primary Specialty
-
Prosthetic/Orthotic Supplier
335E00000X
Other Prosthetic/Orthotic Supplier Providers in SOUTHFIELD, MI
| Name | Credential | NPI |
|---|---|---|
| SHELONDA STRACHAN | — | 1952143257 |
| JEANETTE NELSON | — | 1164231668 |
| MRS. FLORENTHIA LAVON DUNWOODY | — | 1487526885 |
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.