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Contact Information

THERESA R ANDERSONNING, DO
9960 VILLAGE PLACE BOULEVARD
BRIGHTON, MI48116
 Phone: 248-869-6500
 Fax: 248-869-6509
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Neuromusculoskeletal Medicine & OMM

204D00000X 12 Physician/Osteopathic Manipulative Medicine
Indicates primary specialty

NPI Profile & details for THERESA R ANDERSONNING · (Female)

NPI # 1114239670
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 07/12/2010
Last updated 07/12/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • MI License # L1828737
Hospital affiliation(s)
  • PROVIDENCE HOSPITAL AND MEDICAL CENTERS - (Acute Care)
    16001 W NINE MILE RD
    SOUTHFIELD, MI 48075
  • ST JOHN HOSPITAL AND MEDICAL CENTER - (Acute Care)
    22101 MOROSS RD
    DETROIT, MI 48236
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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