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Contact Information

MARY BETH ANDERSON, DO
18756 MILLAR RD
CILNTON TOWNSHIP, MI48036-2095
 Phone: 586-381-0177
 Fax: 859-987-7661
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatopathology

207ZD0900X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for MARY BETH ANDERSON · (Female)

NPI # 1457419160
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 12/05/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • MI License # 5101011355
  • MI Other 2155003214 BCBS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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