Individual
PREMCHAND ANNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.B.A., M.P.H.
Contact information
Practice address
22201 MOROSS RD, PB II, SUITE 275, DETROIT, MI 48236-2169
(313) 343-4887
(313) 343-6822
Mailing address
22201 MOROSS RD STE 275, DETROIT, MI 48236-2176
(313) 343-6840
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301080539
MI
208000000X
Pediatrics Physician
4301080539
MI
2080P0202X
Pediatric Cardiology Physician
Primary
4301080539
MI
Other
Enumeration date
02/27/2007
Last updated
03/02/2017
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