Individual
DR. MARY BETH ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
18756 MILLAR RD, CLINTON TOWNSHIP, MI 48036-2095
(586) 381-0177
(859) 987-7661
Mailing address
18756 MILLAR RD, CLINTON TOWNSHIP, MI 48036-2095
(586) 381-0177
(859) 987-7661
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
5101011355
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2155003214
BCBS
MI
Enumeration date
12/05/2006
Last updated
07/08/2007
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