Individual
ADINA-MARIA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
225 W H ST, IRON MOUNTAIN, MI 49801-4608
(906) 776-5940
(906) 779-2586
Mailing address
PO BOX 549, IRON MOUNTAIN, MI 49801-0549
(906) 774-1313
(906) 776-5639
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5901002125
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43241400
—
WI
05
—
4881074
—
MI
01
—
5220021
BCBS OF MI
MI
01
—
P00958672
RR MEDICARE
MI
Enumeration date
05/27/2006
Last updated
01/12/2023
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