Individual
ANDREW WITHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
109 S HURON ST APT 3, YPSILANTI, MI 48197-5453
(734) 344-9408
Mailing address
109 S HURON ST APT 3, YPSILANTI, MI 48197-5453
(734) 344-9408
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
—
—
247200000X
Other Technician
—
—
251J00000X
Nursing Care Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
06/12/2025
Last updated
06/12/2025
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