Individual
ANDREW AVERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7733 EAST JEFFERSON AVE, DETROIT, MI 48214
(313) 499-4050
(313) 499-4517
Mailing address
4201 SAINT ANTOINE ST, UHC 9D, DETROIT, MI 48201-2153
(313) 966-5187
(313) 966-8111
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301093131
MI
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
4301093131
MI
208000000X
Pediatrics Physician
4301093131
MI
Other
Enumeration date
08/13/2008
Last updated
10/07/2011
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