Individual
DR. CAROL COX VAN ANDEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
37040 GARFIELD RD, STE T-5, CLINTON TWP, MI 48036-3646
(586) 203-1260
(586) 203-1261
Mailing address
39211 LANSE CREUSE ST, HARRISON TWP, MI 48045-2070
(586) 954-2761
(586) 203-1261
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301049949
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2605041432
BLUE CROSS
MA
05
—
2873850
—
MI
Enumeration date
07/28/2006
Last updated
11/05/2021
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