Individual
MR. ANDREW EDGAR MENDIANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1806 E PARKDALE AVE, STE 3, MANISTEE, MI 49660-9364
(231) 398-9536
(231) 398-9541
Mailing address
1806 E PARKDALE AVE, STE 3, MANISTEE, MI 49660-9364
(231) 398-9536
(231) 398-9541
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
5101012343
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4131646
—
MI
Enumeration date
05/04/2006
Last updated
11/13/2012
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