Connie M Anderson in Grand Rapids - Dermatology
Connie M Anderson - NPI 1124012919
Connie M Anderson is a Dermatology in Grand Rapids, Michigan. Connie M Anderson practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Connie M Anderson is 1124012919. The last update date is 2023-03-02.
Connie M Anderson's current location address is 750 E Beltline Ave Ne Ste 301, Grand Rapids, Michigan. You can contact this provider via phone number 6169429343 and fax number 6169422538. The mailing address for Connie M Anderson is 750 E Beltline Ave Ne Ste 301, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Connie M Anderson |
|---|---|
| Address | 750 E Beltline Ave Ne Ste 301, Grand Rapids, Michigan |
| Phone Number | 6169429343 |
| Fax Number | 6169422538 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1124012919 |
|---|---|
| Provider Enumeration Date | 2005-09-07 |
| Last Updated Date | 2023-03-02 |
Provider Mailing Address Detail
| Address | 750 E Beltline Ave Ne Ste 301 |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495256046 |
| Phone Number | 6169429343 |
| Fax Number | 6169422538 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | 5601002814 |
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Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1941713 | MI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Connie M Anderson by the Centers for Medicare & Medicaid Services?
The Connie M Anderson has been issued the NPI (National Provider Identifier) 1124012919, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Connie M Anderson's facilities are geographically located?
The facilities of Connie M Anderson are physically situated at the following location: 750 E Beltline Ave Ne Ste 301, Grand Rapids, MI, 495256046.
What is Connie M Anderson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Connie M Anderson is Dermatology, and the taxonomy code that classifies this field of practice is 207N00000X.
On what date did the Connie M Anderson receive the assignment of its 1124012919 from the Centers for Medicare & Medicaid Services?
The Connie M Anderson was issued its 1124012919 by the Centers for Medicare & Medicaid Services on 2005-09-07.
As of what date was the information pertaining to Connie M Anderson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Connie M Anderson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-03-02.