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ANDREW ANDERSON

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1780200022

Individual Registrant:
 ANDREW  ANDERSON 
Gender: M
Sole Proprietor

Location and contact information for practice:
208 MICHIGAN AVE  GLADSTONE, MI 49837-1914 US
Tel: 906-241-7436  Fax: --

Contact information for business:
208 MICHIGAN AVE  GLADSTONE, MI 49837-1914 US
Tel: 906-241-7436  Fax: --

Registration Information:
NPI: 1780200022
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
MI4704297360

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS MI - Page 1



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