Individual
ANN L OLDENDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1500 E MEDICAL CENTER DRIVE, 2ND FLOOR TAUBMAN CENTER RECP C, ANN ARBOR, MI 48109-5330
(734) 936-7030
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
4301053964
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2933770
—
MI
Enumeration date
09/29/2006
Last updated
03/27/2012
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