Individual
CARMEN G MCANDREW
Active
Individual
CARMEN G MCANDREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
4704289114
MI
363LA2200X
Adult Health Nurse Practitioner
Primary
1770125130
MI
Other
Enumeration date
10/16/2019
Last updated
03/08/2023
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