Individual
ANITA KATHARINA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1801 BRIARWOOD CIRCLE, ANN ARBOR, MI 48108-3347
(734) 998-7390
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35.099728
OH
207Q00000X
Family Medicine Physician
Primary
4301107638
MI
207Q00000X
Family Medicine Physician
ML60095995
WA
207V00000X
Obstetrics & Gynecology Physician
4301107638
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0068432
—
OH
05
—
3810023762
—
WV
01
—
P01141863
RAILROAD MEDICARE
OH
Enumeration date
06/22/2009
Last updated
08/24/2015
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