Organization
LIVINGSTON CENTER OF ALLERGY, SINUS & ASTHMA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA DOBRACKI MD (PRESIDENT)
(810) 227-0906
Entity
Organization
Contact information
Practice address
8546 W GRAND RIVER AVE, BRIGHTON, MI 48116-2326
(810) 227-0906
Mailing address
P O BOX 30516, DEPT 8650, LANSING, MI 48909-8016
(810) 227-0906
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
AD060576
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104105851
—
MI
Enumeration date
10/03/2006
Last updated
04/25/2014
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