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Individual

ANDREA NIELSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
3535 W 13 MILE RD STE 555, ROYAL OAK, MI 48073-6770
(248) 551-2020
(248) 551-2267
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003103
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
900F37491
BCBSM
MI
Enumeration date
04/17/2007
Last updated
10/21/2025
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