Marcelyn Anderson in Grand Rapids - Medical
Marcelyn Anderson - NPI 1801986914
Marcelyn Anderson is a Medical in Grand Rapids, Michigan. Marcelyn Anderson practices all healthcare services and medical treatments related to Medical. The NPI Number for Marcelyn Anderson is 1801986914. The last update date is 2021-02-24.
Marcelyn Anderson's current location address is 100 Michigan St Ne, Grand Rapids, Michigan. You can contact this provider via phone number 6164866557 and fax number 6164866702. The mailing address for Marcelyn Anderson is 100 Michigan St Ne, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marcelyn Anderson |
|---|---|
| Address | 100 Michigan St Ne, Grand Rapids, Michigan |
| Phone Number | 6164866557 |
| Fax Number | 6164866702 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1801986914 |
|---|---|
| Provider Enumeration Date | 2006-10-13 |
| Last Updated Date | 2021-02-24 |
Provider Mailing Address Detail
| Address | 100 Michigan St Ne |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495032560 |
| Phone Number | 6164866557 |
| Fax Number | 6164866702 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 2326-023 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1801986914 | MI | -- | |
| 118606 | IL | HEALTH ALLIANCE MEDICAL | |
| 43025800 | WI | -- | |
| 60828 | WI | DEAN HEALTH INSURANCE |
Post Comment/ Review Below
What is the Marcelyn Anderson's unique identification number?
The Marcelyn Anderson has been assigned the NPI (National Provider Identifier) Number 1801986914 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Marcelyn Anderson's facilities are situated?
The facilities of Marcelyn Anderson are physically located at the following address: 100 Michigan St Ne, Grand Rapids, MI, 495032560.
What is the area of specialization for Marcelyn Anderson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Marcelyn Anderson is Medical, and the corresponding taxonomy code that categorizes this area of expertise is 363Am0700X.
On what date did Marcelyn Anderson receive its 1801986914 assignment from the Centers for Medicare & Medicaid Services?
The Marcelyn Anderson was assigned its 1801986914 on 2006-10-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Marcelyn Anderson most recently updated or refreshed?
The details pertaining to the Marcelyn Anderson, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-02-24.