Individual
ANDREW WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2799 W GRAND BLVD # K-7, DETROIT, MI 48202-2608
(800) 653-6568
Mailing address
929 E 3RD ST, ROYAL OAK, MI 48067-2862
(248) 561-6055
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301109079
MI
207RG0100X
Gastroenterology Physician
Primary
4301109079
MI
Other
Enumeration date
03/31/2012
Last updated
01/23/2020
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