Individual
KYLE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
32270 TELEGRAPH RD STE 220B, BINGHAM FARMS, MI 48025-2456
(248) 480-9080
(248) 480-9081
Mailing address
32270 TELEGRAPH RD STE 220, BINGHAM FARMS, MI 48025-2405
(248) 480-9080
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4301074015
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0767220001
ADMINISTAR FEDERAL
MI
01
—
0F31114
BCBS
MI
01
—
0F33583
BCBS DME
MI
05
—
411776310
—
MI
01
—
700H262250
BLUE CROSS-BLUE CROSS
—
01
—
KA074015
CHAMPUS-CHAMPUS
—
Enumeration date
11/15/2005
Last updated
10/14/2019
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