Anne Mare Ice in Detroit - Adolescent Medicine
Anne Mare Ice - NPI 1902839764
Anne Mare Ice is a Adolescent Medicine in Detroit, Michigan. Anne Mare Ice practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Anne Mare Ice is 1902839764. The last update date is 2007-07-08.
Anne Mare Ice's current location address is 22341 W 8 Mile Rd, Detroit, Michigan. You can contact this provider via phone number 3132552209 and fax number 3132550773. The mailing address for Anne Mare Ice is 22341 W 8 Mile Rd, Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Anne Mare Ice |
|---|---|
| Address | 22341 W 8 Mile Rd, Detroit, Michigan |
| Phone Number | 3132552209 |
| Fax Number | 3132550773 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1902839764 |
|---|---|
| Provider Enumeration Date | 2006-07-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 22341 W 8 Mile Rd |
|---|---|
| City | Detroit |
| State | Michigan (MI) |
| Post Code | 482191217 |
| Phone Number | 3132552209 |
| Fax Number | 3132550773 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 2080A0000X |
| Licence No | 4301031683 |
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Definition: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1066910 | MI | -- |
Post Comment/ Review Below
What is the Anne Mare Ice's 1902839764?
The Anne Mare Ice's NPI (National Provider Identifier) Number is 1902839764. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Anne Mare Ice's physical address?
The Anne Mare Ice is physically located at 22341 W 8 Mile Rd, in the city of Detroit, MI, with the postal code 482191217.
What is the area of specialization for Anne Mare Ice, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Anne Mare Ice is Adolescent Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 2080A0000X.
When was the Anne Mare Ice's 1902839764 issued?
The Anne Mare Ice's 1902839764 was issued on 2006-07-07.
When was the Anne Mare Ice's information last updated?
The Anne Mare Ice's information was last updated on 2007-07-08.
NPI Number: 1215930425
Address: 224 W Exchange St, Akron, OH