Individual
DR. MICHAEL LUTHER ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
5465 MAIN ST, SYLVANIA, OH 43560-2155
(419) 885-8800
(419) 885-8600
Mailing address
5465 MAIN ST, SYLVANIA, OH 43560-2155
(419) 885-8800
(419) 885-8600
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
88744
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301085123
PHYSICIAN LICENSE
MI
01
—
88744
DR OF MEDICINE
OH
Enumeration date
02/09/2007
Last updated
07/08/2007
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