Individual
MICHAEL ALEX ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
STUDENT
Contact information
Practice address
2139 AUBURN AVE, CINCINNATI, OH 45219-2906
(513) 348-8567
Mailing address
6829 SUMMER STONE CT, LIBERTY TWP, OH 45011-6401
(513) 348-8567
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
67.000421
OH
Other
Enumeration date
09/01/2021
Last updated
09/01/2021
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