Individual
ANDREW TODD PRIESTAP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6136 PINE CREEK CT, GRAND BLANC, MI 48439-9768
(810) 247-2003
Mailing address
6136 PINE CREEK CT, GRAND BLANC, MI 48439-9768
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501010469
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
650B514090
BCBS
MI
01
—
P00321187
RAILROAD
MI
Enumeration date
07/26/2006
Last updated
03/01/2019
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