Individual
JEFFREY THOMAS ANDRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
5849 W SAGINAW HWY, LANSING, MI 48917-2460
(517) 827-8644
(517) 323-4935
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501011982
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30647
BCBS
MI
Enumeration date
10/04/2006
Last updated
02/17/2016
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