Individual
ANTHONY A ANDRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1199 HADLEY RD STE 100, MOORESVILLE, IN 46158-1788
(317) 834-3263
(317) 834-5194
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(178) 651-4793
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01065672
IN
208M00000X
Hospitalist Physician
01065672
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200917020
—
IN
Enumeration date
09/15/2008
Last updated
05/22/2023
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