Anne-Mare Ice Md Pc in Detroit - Adolescent Medicine

Anne-Mare Ice Md Pc - NPI 1639347586

Anne-Mare Ice Md Pc is a Adolescent Medicine in Detroit, Michigan. Anne-Mare Ice Md Pc practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Anne-Mare Ice Md Pc is 1639347586. The last update date is 2008-02-13.

Anne-Mare Ice Md Pc's current location address is 22341 W 8 Mile Rd, Detroit, Michigan. You can contact this provider via phone number 3132552209. The mailing address for Anne-Mare Ice Md Pc is 22341 W 8 Mile Rd, Detroit, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Organization Anne-Mare Ice Md Pc
Address 22341 W 8 Mile Rd, Detroit, Michigan
Phone Number 3132552209
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position GENERAL MA
Authorized Official Name Hill A Kassandra
Telephone Number 3132554672

NPI Number Detail

NPI Number 1639347586
Provider Enumeration Date 2008-02-13
Last Updated Date 2008-02-13

Provider Mailing Address Detail

Address 22341 W 8 Mile Rd
City Detroit
State Michigan (MI)
Post Code 482191217
Phone Number 3132552209
Fax Number

Provider's Primary Taxonomy Detail

Speciality Adolescent Medicine
Taxonomy 2080A0000X
Licence No 4301031683
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1066910 MI --
0H27243 MI BCBS OF MICHIGAN

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FAQs about Anne-Mare Ice Md Pc

What is the unique identification code assigned to Anne-Mare Ice Md Pc by the Centers for Medicare & Medicaid Services?

The Anne-Mare Ice Md Pc has been issued the NPI (National Provider Identifier) 1639347586. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Anne-Mare Ice Md Pc is physically located?

The Anne-Mare Ice Md Pc is physically situated at the following address: 22341 W 8 Mile Rd, Detroit, MI, 482191217.

What is Anne-Mare Ice Md Pc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Anne-Mare Ice Md Pc is Adolescent Medicine, and the taxonomy classification code that categorizes this area of expertise is 2080A0000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1639347586 to Anne-Mare Ice Md Pc?

The Centers for Medicare & Medicaid Services originally issued the 1639347586 to Anne-Mare Ice Md Pc on 2008-02-13.

As of what date were the Anne-Mare Ice Md Pc's details last updated?

The information pertaining to the Anne-Mare Ice Md Pc, including its address, specialty, and other details, was most recently updated on 2008-02-13.

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