Individual
MRS. ANDREA LYNN MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
44250 DEQUINDRE RD, STERLING HEIGHTS, MI 48314
(248) 964-0400
(586) 263-2589
Mailing address
130 TOWN CENTER DR, STE 203, TROY, MI 48084-1744
(248) 585-8216
(248) 585-8266
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601005930
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12322941
CAQH
—
Enumeration date
11/22/2010
Last updated
10/22/2020
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