Individual
ANDREW ROBERT ISAACSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4201 SAINT ANTOINE ST STE 615, DETROIT, MI 48201-2153
(313) 745-4195
Mailing address
400 MACK AVE, DETROIT, MI 48201-2136
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
4301098419
MI
208600000X
Surgery Physician
4301117409
MI
2086S0102X
Surgical Critical Care Physician
Primary
4301117409
MI
2086S0127X
Trauma Surgery Physician
0708045
GA
2086S0127X
Trauma Surgery Physician
Primary
4301117409
MI
Other
Enumeration date
06/21/2011
Last updated
03/09/2026
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