Individual
DR. ANDREA LYNN AAGESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
325 E EISENHOWER PKWY, ANN ARBOR, MI 48108-3364
(734) 936-7175
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
5101017363
MI
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
5101017363
MI
Other
Enumeration date
07/03/2007
Last updated
11/16/2020
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