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Contact Information

BRENDA M ANDRITSIS, MD
HENRY FORD HEALTH SYSTEM
2825 LIVERNOIS
TROY, MI48083
 Phone: 248-680-6000
 Fax: 248-680-6068
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for BRENDA M ANDRITSIS · (Female)

NPI # 1124196936
Status Active
Credentials MD
Entity Individual
Enumeration date 12/01/2006
Last updated 06/03/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4301054934
  • MI Medicaid 293857010
  • Other 080H262390 BLUE CROSS-BLUE CROSS
  • Other BA054934 CHAMPUS-CHAMPUS
  • Other BA054934 COMMERCIAL-COMMERCIAL NUMBER
Hospital affiliation(s)
  • HENRY FORD HOSPITAL - (Acute Care)
    2799 W GRAND BLVD
    DETROIT, MI 48202
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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