Individual
AVERY HARRIS MENDELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22250 PROVIDENCE DR STE 301A&B, SOUTHFIELD, MI 48075-4825
(248) 849-3281
(248) 849-5449
Mailing address
16001 W 9 MILE RD, SOUTHFIELD, MI 48075-4818
(248) 849-3000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301503744
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/01/2018
Last updated
06/17/2021
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