Individual
MR. KENT ERNEST ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
128 S 25TH ST, ESCANABA, MI 49829-1364
(906) 786-4100
(906) 786-3997
Mailing address
128 S 25TH ST, ESCANABA, MI 49829-1364
(906) 786-4100
(906) 786-3997
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4301043128
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1419958
—
MI
01
—
2002100152
BCBSM
MI
Enumeration date
08/02/2005
Last updated
05/06/2009
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