Individual
ANNA K WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2770 MACKINTOSH LN, B1 FLOOR UNIVERSITY HOSPITAL RECP EMERGENCY, BLOOMFIELD HILLS, MI 48302-0933
(313) 743-8086
Mailing address
2770 MACKINTOSH LN, BLOOMFIELD HILLS, MI 48302-0933
(313) 743-8086
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
54840
CA
363A00000X
Physician Assistant
Primary
5601002980
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1158113040
BCBS IND
MI
Enumeration date
10/20/2006
Last updated
05/09/2024
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