Individual
ANNE CHRISTINE WATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
36175 HARPER AVE, CLINTON TOWNSHIP, MI 48035-3274
(586) 741-3772
(586) 741-4604
Mailing address
36175 HARPER AVE, CLINTON TOWNSHIP, MI 48035-3274
(586) 741-3772
(586) 741-4604
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301031292
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0H261880
BCBSM PROVIDER NUMBER
—
01
—
0Q26008
BCBS PROVIDER NUMBER
MI
01
—
1006439
MCLAREN HEALTH
MI
01
—
110420
GREAT LAKES HEALTH
MI
05
—
2822341
—
MI
Enumeration date
01/17/2006
Last updated
04/20/2008
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