Organization
JOHN K ANDERSON MD PC
Active
Other names
MICHIGAN SPORTSMEDICINE AND ORTHOPEDIC CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE DEAN BASAR (PRACTICE MANAGER)
(734) 434-3020
Entity
Organization
Contact information
Practice address
4972 W CLARK RD, STE 200, YPSILANTI, MI 48197-0862
(734) 434-3020
(734) 434-3025
Mailing address
4972 W CLARK RD, STE 200, YPSILANTI, MI 48197-0862
(734) 434-3020
(734) 434-3025
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
061034
MI
Other
Enumeration date
01/30/2007
Last updated
01/13/2012
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