Individual
DR. ANDREA SLIFER LODER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
965 S BAILEY AVE STE 2-4, SOUTH HAVEN, MI 49090-6743
(269) 639-2777
(269) 639-2776
Mailing address
1005 MAR WALT DR, PEDIATRIC DEPARTMENT, FORT WALTON BEACH, FL 32547-6707
(850) 863-8203
(850) 862-0977
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301116417
MI
208000000X
Pediatrics Physician
ME70335
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28977
BCBSFL
FL
05
—
379588800
—
FL
Enumeration date
12/13/2005
Last updated
11/27/2023
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