Individual
MR. JOHN M ANDRAKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1101 HEALTH PROFESSIONS BLDG, MT PLEASANT, MI 48859-0001
(989) 774-3904
Mailing address
1101 HEALTH PROFESSIONS BLDG, MT PLEASANT, MI 48859-0001
(989) 774-3904
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501014186
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0C70105
BLUE CROSS
MI
Enumeration date
11/14/2006
Last updated
01/23/2014
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