Individual
DOUGLAS HENRY ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
325 EAST EISENHOWER PARKWAY, STE 100, ANN ARBOR, MI 48108-5721
(734) 763-5459
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
4301094077
MI
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
4301094077
MI
Other
Enumeration date
06/04/2009
Last updated
04/18/2019
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