Organization
ARLETHA ANDERSON, M.D. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARLETHA LENISE ANDERSON M.D. (PRESIDENT)
(313) 587-4448
Entity
Organization
Contact information
Practice address
503 W GRAND BLVD, DETROIT, MI 48216-2200
(313) 554-0227
Mailing address
503 W GRAND BLVD, DETROIT, MI 48216-2200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301071086
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0808272112
BLUE CROSS PIN
MI
05
—
4427824
—
MI
05
—
4674990
—
MI
Enumeration date
10/05/2007
Last updated
10/05/2007
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