Individual
MS. ANDREA MARY MOBILIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4125 WASHTENAW AVE, ANN ARBOR, ANN ARBOR, MI 48108-1003
(734) 973-4343
(734) 973-4484
Mailing address
555 TOWNER ST, PO BOX 915, YPSILANTI, MI 48198-5752
(734) 544-3000
(734) 544-6732
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
4301080412
MI
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
4301080412
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5304519
—
MI
01
—
750910468
BLUE CROSS
MI
Enumeration date
03/31/2007
Last updated
03/19/2012
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