Individual
DR. IAN JACOB ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22101 MOROSS RD # CCB-SB, DETROIT, MI 48236-2148
(313) 343-3520
Mailing address
22101 MOROSS RD # CCB-SB, DETROIT, MI 48236-2148
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
4301101517
MI
Other
Enumeration date
05/28/2014
Last updated
05/26/2017
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