Individual
JORDAN KALIE ANHEUSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
37000 GRAND RIVER AVE STE 310, FARMINGTON HILLS, MI 48335-2868
(248) 536-2127
(248) 893-6952
Mailing address
37000 GRAND RIVER AVE STE 310, FARMINGTON HILLS, MI 48335-2868
(248) 536-2127
(248) 893-6952
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601011828
MI
Other
Enumeration date
06/23/2022
Last updated
10/01/2024
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