Brian E. Anderson, D.d.s., Pllc

NPI 1063796456 - Clinic/Center - 261QD0000X

NPI Details
NPI 1063796456
Enumeration Date 10/04/2011
Last Updated 10/04/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name BRIAN EDWARD BRIAN
Position SOLE MEMBER
Phone (906) 485-5575
Fax (906) 485-1260
Practice Location
125 N. PANSY ST
ISHPEMING MI, 49849, US
Phone (906) 485-5575
Fax (906) 485-1260
Business Location
125 N. PANSY ST
ISHPEMING MI, 49849, US
Phone (906) 485-5575
Fax (906) 485-1260
Toxanomy
Taxonomy Code 261QD0000X
License State Michigan
License Number 2901019979
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According to our database, Brian E. Anderson, D.d.s., Pllc NPI is 1063796456, taxonomy code is 261QD0000X and license number is 2901019979, license state is located at Michigan. Brian E. Anderson, D.d.s., Pllc physically located at 125 N. Pansy St, Ishpeming MI, 49849. NPI Number 1033115704 has the healthcare provider type.

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1063796456 NPI number is provided on an as is basis without warranty of any kind. 1063796456 is maintained by the National Plan & Provider Enumeration System. The contents of Brian E. Anderson, D.d.s., Pllc are for informational purposes only.