Individual
MAUREEN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3577 W 13 MILE RD STE 206, ROYAL OAK, MI 48073-6710
(248) 551-7837
(248) 551-9992
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301406124
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010F362410
BCBSM
MI
05
—
4555541
—
MI
Enumeration date
03/12/2007
Last updated
10/22/2020
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