Individual
DR. KENNETH PAUL D'ANDREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
22201 MOROSS RD, SUITE 352, DETROIT, MI 48236-2169
(313) 343-7747
(313) 343-7001
Mailing address
22201 MOROSS RD, SUITE 352, DETROIT, MI 48236-2169
(313) 343-7747
(313) 343-7001
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
5101019577
MI
Other
Enumeration date
11/22/2011
Last updated
05/08/2017
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