Individual
JAMES JOSEPH ANDONIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
HENRY FORD HEALTH SYSTEM, 2799 WEST GRAND BOULEVARD, DETROIT, MI 48202
(313) 916-9106
(313) 916-1249
Mailing address
30800 TELEGRAPH RD, CONCENTRA, BINGHAM FARMS, MI 48025
(248) 712-2222
(248) 786-6079
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
4301038002
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
485885310
—
MI
01
—
700H262220
BLUE CROSS-BLUE CROSS
—
01
—
JA038002
COMMERCIAL-COMMERCIAL NUMBER
—
Enumeration date
02/28/2006
Last updated
12/23/2011
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