Individual
DR. HARRY L ANDERSON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5301 MCAULEY DR, SURGICAL CRITICAL CARE, STE 2482, YPSILANTI, MI 48197-1051
(734) 712-2808
(734) 712-2844
Mailing address
24 FRANK LLOYD WRIGHT DR LBBY J2000, ANN ARBOR, MI 48105-9484
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
35086755
OH
2086S0102X
Surgical Critical Care Physician
35086755
OH
2086S0102X
Surgical Critical Care Physician
Primary
4301050681
MI
2086S0127X
Trauma Surgery Physician
35086755
OH
2086S0127X
Trauma Surgery Physician
4301050681
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2597846
—
OH
Enumeration date
04/26/2006
Last updated
10/20/2017
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