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Organization

ANDERSON SPORTS MEDICINE

Active
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Organization

ANDERSON SPORTS MEDICINE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KYLE ANDERSON M.D. (OWNER)
(248) 663-1900
Entity
Organization

Contact information

Practice address
32270 TELEGRAPH RD STE 220B, BINGHAM FARMS, MI 48025-2456
(248) 480-9080
(248) 480-9081
Mailing address
32270 TELEGRAPH RD STE 220B, BINGHAM FARMS, MI 48025-2456
(248) 480-9080
(248) 480-9081

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4301074015
MI

Other

Enumeration date
03/19/2014
Last updated
11/18/2019
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