Anderson, David R

Anderson, David R is an individual health care provider with primary practice located at 3520 Forest Rd Fl 3 , Lansing MI 48910-3720. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Ultrasound, which is considered as his primary health care specialty. Anderson, David R can be contacted via phone (517) 975-6425.

Contact Information

Primary practice address
3520 Forest Rd Fl 3 Lansing MI 48910-3720
Phone: (517) 975-6425
Fax: (517) 975-6430
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Ultrasound 2085U0001X 4301076201 Michigan

Profile Details

NPI number 1366491664
LBN Legal business name Anderson, David R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2006
Last updated Jun 27th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366491664 NPPES
Michigan MEDICAID 1366491664
Michigan MEDICAID 4637502

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