Individual
MICHELLE ANN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5499
(480) 301-8000
Mailing address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5499
(480) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301061552
MI
207RG0100X
Gastroenterology Physician
4301061552
MI
207RG0100X
Gastroenterology Physician
Primary
64734
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4143280
—
MI
Enumeration date
10/20/2006
Last updated
09/24/2021
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