Individual
MRS. LAURA M ANDREWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1996 S OTSEGO AVE, GAYLORD, MI 49735-8381
(989) 705-2669
(989) 705-2608
Mailing address
PO BOX 1947, 1996 S. OTSEGO, GAYLORD, MI 49734-5947
(989) 705-2669
(989) 705-2608
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3118873
—
MI
Enumeration date
07/11/2006
Last updated
07/09/2007
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