Individual
ANN THERESE LAIDLAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
325 E EISENHOWER PKWY, ANN ARBOR, MI 48108-3364
(734) 936-7175
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
4301070557
MI
208100000X
Physical Medicine & Rehabilitation Physician
4301070557
MI
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
4301070557
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4359209
—
MI
Enumeration date
10/19/2006
Last updated
11/11/2020
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