Individual
DR. MICHELLE L ANDARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
235 WEALTHY ST SE, GRAND RAPIDS, MI 49503-5247
(616) 840-8000
Mailing address
205 N EAST AVE, JACKSON, MI 49201-1753
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
5151015815
MI
390200000X
Student in an Organized Health Care Education/Training Program
5151015815
MI
Other
Enumeration date
05/23/2022
Last updated
08/10/2023
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