Individual
DR. ANDREW A ATHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
15100 S PLAZA DR, TAYLOR, MI 48180-5203
(734) 287-3700
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
(947) 522-1863
(947) 522-0307
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
AA008335
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1400698
—
MI
Enumeration date
04/05/2006
Last updated
10/22/2020
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