Elizabeth Joanne Anderson in Grand Rapids - Medical

Elizabeth Joanne Anderson - NPI 1629158399

Elizabeth Joanne Anderson is a Medical in Grand Rapids, Michigan. Elizabeth Joanne Anderson practices all healthcare services and medical treatments related to Medical. The NPI Number for Elizabeth Joanne Anderson is 1629158399. The last update date is 2021-02-24.

Elizabeth Joanne Anderson's current location address is 1545 68th St Se, Grand Rapids, Michigan. You can contact this provider via phone number 6162677881 and fax number 6162677641. The mailing address for Elizabeth Joanne Anderson is 1545 68th St Se, Grand Rapids, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Elizabeth Joanne Anderson
Address 1545 68th St Se, Grand Rapids, Michigan
Phone Number 6162677881
Fax Number 6162677641
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1629158399
Provider Enumeration Date 2006-10-17
Last Updated Date 2021-02-24

Provider Mailing Address Detail

Address 1545 68th St Se
City Grand Rapids
State Michigan (MI)
Post Code 495087896
Phone Number 6162677881
Fax Number 6162677641

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No 5601004734
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

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FAQs about Elizabeth Joanne Anderson

What is the unique identification code assigned to Elizabeth Joanne Anderson by the Centers for Medicare & Medicaid Services?

The Elizabeth Joanne Anderson has been issued the NPI (National Provider Identifier) 1629158399. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Elizabeth Joanne Anderson is physically located?

The Elizabeth Joanne Anderson is situated at the following address: 1545 68Th St Se, Grand Rapids, MI 495087896.

What is Elizabeth Joanne Anderson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Elizabeth Joanne Anderson is Medical, and the taxonomy code that categorizes this field of expertise is 363Am0700X.

On what date did the Elizabeth Joanne Anderson receive its 1629158399 assignment from the Centers for Medicare & Medicaid Services?

The Elizabeth Joanne Anderson was assigned its 1629158399 by the Centers for Medicare & Medicaid Services on 2006-10-17.

As of what date were the details related to Elizabeth Joanne Anderson most recently updated or revised?

The information pertaining to Elizabeth Joanne Anderson, including its address, specialty, and other relevant details, was last updated or revised on 2021-02-24.

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