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Individual

ANITA R AVERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
(734) 936-4000
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301079234
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4432710
MI
05
4433754
MI
05
4455582
MI
05
4878195
MI
05
4878266
MI
Enumeration date
05/18/2006
Last updated
06/25/2024
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