Individual
DR. BRIAN EDWARD ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
125 N PANSY STREET, ISHPEMING, MI 49849
(906) 485-5575
(906) 485-1260
Mailing address
125 N PANSY STREET, ISHPEMING, MI 49849
(906) 485-5575
(906) 485-1260
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901019979
MI
1223G0001X
General Practice Dentistry
Primary
2901019979
MI
Other
Enumeration date
06/18/2009
Last updated
11/30/2024
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