Individual
ANDREW ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
208 MICHIGAN AVE, GLADSTONE, MI 49837-1914
(906) 241-7436
Mailing address
208 MICHIGAN AVE, GLADSTONE, MI 49837-1914
(906) 241-7436
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704297360
MI
Other
Enumeration date
06/23/2020
Last updated
06/23/2020
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