Individual
ANDREA LIGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
7320 DOLPHIN, REDFORD, MI 48239-1009
(313) 492-7991
Mailing address
7320 DOLPHIN, REDFORD, MI 48239-1009
(313) 492-7991
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704297059
MI
Other
Enumeration date
01/21/2020
Last updated
01/21/2020
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