John G Anderson in Grand Rapids - Foot And Ankle Surgery

John G Anderson - NPI 1700874294

John G Anderson is a Foot And Ankle Surgery in Grand Rapids, Michigan. John G Anderson practices all healthcare services and medical treatments related to Foot And Ankle Surgery. The NPI Number for John G Anderson is 1700874294. The last update date is 2013-01-30.

John G Anderson's current location address is 1111 Leffingwell Ave Ne, Grand Rapids, Michigan. You can contact this provider via phone number 6164597101 and fax number 6164646170. The mailing address for John G Anderson is 1111 Leffingwell Ave Ne, Grand Rapids, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name John G Anderson
Address 1111 Leffingwell Ave Ne, Grand Rapids, Michigan
Phone Number 6164597101
Fax Number 6164646170
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1700874294
Provider Enumeration Date 2005-10-10
Last Updated Date 2013-01-30

Provider Mailing Address Detail

Address 1111 Leffingwell Ave Ne
City Grand Rapids
State Michigan (MI)
Post Code 49525
Phone Number 6164597101
Fax Number 6164646170

Provider's Primary Taxonomy Detail

Speciality Foot And Ankle Surgery
Taxonomy 207Xx0004X
Licence No 4301070607
Definition:
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and ch

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
200030127 RAILROAD MEDICARE
442790001 ADMINISTAR
3380119 MI --

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FAQs about John G Anderson

What is the unique identifier code issued to John G Anderson by the Centers for Medicare & Medicaid Services?

The John G Anderson has been assigned the NPI (National Provider Identifier) 1700874294. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where John G Anderson is physically located?

The John G Anderson is situated at the following address: 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525.

What is the John G Anderson's specialty and taxonomy code?

The John G Anderson's specialty is Foot And Ankle Surgery, and the corresponding taxonomy code is 207Xx0004X.

On what date did the Centers for Medicare & Medicaid Services issue the 1700874294 to John G Anderson?

The John G Anderson received its 1700874294 assignment from the Centers for Medicare & Medicaid Services on 2005-10-10.

When was the information regarding John G Anderson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to John G Anderson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2013-01-30.

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