Individual
JOHN ANDREW STURGEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
325 E EISENHOWER PKWY, ANN ARBOR, MI 48108-3364
(734) 615-7246
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301019084
MI
103TC0700X
Clinical Psychologist
PY60740273
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861868499
—
WA
01
—
8967280
MEDICARE PIN
WA
Enumeration date
08/18/2015
Last updated
07/25/2022
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