Organization
ASSOCIATED PHYSICIANS OF DEARBORN, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LOIS ANDERSON (OFFICE MANAGER)
(313) 945-6100
Entity
Organization
Contact information
Practice address
4700 GREENFIELD RD, DEARBORN, MI 48126-4124
(313) 945-6100
(313) 945-5260
Mailing address
4700 GREENFIELD RD, DEARBORN, MI 48126-4124
(313) 945-6100
(313) 945-5260
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
700H217510
BLUE CROSS
MI
Enumeration date
07/07/2006
Last updated
07/21/2022
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