Individual
DR. ANDREW BENNETT SEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
21000 E 12 MILE RD STE 111, SAINT CLAIR SHORES, MI 48081-1156
(586) 779-7610
(586) 779-0031
Mailing address
21000 E 12 MILE RD STE 111, SAINT CLAIR SHORES, MI 48081-1156
(586) 779-7610
(586) 779-0031
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
4301503576
MI
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
4301503576
MI
Other
Enumeration date
04/16/2010
Last updated
12/10/2020
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