Individual
DR. MARY BETH ANDERSON
Active
Individual
DR. MARY BETH ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
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
Update your record
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