Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Leo H Antrassian, PA-C

Individual provider Physician Assistant · NPI 1730699299

Leo H Antrassian, PA-C is a Physician Assistant in Detroit, Michigan. Works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2017
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

20176 Livernois Ave
Detroit, MI 48221-1346
Phone: (313) 864-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 39000 7 Mile Rd, Livonia, MI 48152-1006 — (947) 523-4310

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601008451 (MI)

Record details

NPI number1730699299
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 10, 2017
Last updated in NPPESMarch 25, 2026
Certification dateMarch 25, 2026

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