Individual
MARVIN ANDERSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
1028 HANNAH AVE, STE D, TRAVERSE CITY, MI 49686-2963
(231) 946-7360
(231) 929-4775
Mailing address
1028 HANNAH AVE, STE D, TRAVERSE CITY, MI 49686-2963
(231) 946-7360
(231) 929-4775
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301030297
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4196720
—
MI
Enumeration date
12/21/2005
Last updated
07/08/2007
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