Organization
DR ANDERSON AND ASSOCIATES P. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARLETHA LENISE ANDERSON MD (OWNER)
(248) 395-6201
Entity
Organization
Contact information
Practice address
26237 SOUTHFIELD RD, LATHRUP VILLAGE, MI 48076
(248) 395-6201
Mailing address
26237 SOUTHFIELD RD, LATHRUP VILLAGE, MI 48076
(248) 395-6201
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4674990
—
MI
01
—
700H22332
BCBS
—
Enumeration date
08/21/2009
Last updated
09/18/2009
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