Individual
MRS. MICHELLE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
42504 HOWARD ST, CLINTON TWP, MI 48036-3178
(313) 516-5199
Mailing address
42504 HOWARD ST, CLINTON TWP, MI 48036-3178
(313) 516-5199
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
06/29/2016
Last updated
06/29/2016
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