Healthcare Provider Details

I. General information

NPI: 1730248204
Provider Name (Legal Business Name): ANTONI LODZINSKI
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/08/2006
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35200 DEQUINDRE RD STE 300
STERLING HEIGHTS MI
48310-4837
US

IV. Provider business mailing address

2891 E MAPLE RD
TROY MI
48083-6106
US

V. Phone/Fax

Practice location:
  • Phone: 248-227-7343
  • Fax: 248-720-0703
Mailing address:
  • Phone: 248-720-0701
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: