Individual
DR. LARS P ANDERSEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1005 S US HIGHWAY 27, SUITE 100, SAINT JOHNS, MI 48879-2423
(989) 224-3000
(989) 224-1424
Mailing address
1005 S US HIGHWAY 27, SUITE 100, SAINT JOHNS, MI 48879-2423
(989) 224-3000
(989) 224-1424
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101006728
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3026510
—
MI
01
—
CE4044
RAILROAD MEDICARE B
MI
Enumeration date
06/30/2006
Last updated
08/11/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us