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Contact Information

ADINA MARIA ANDERSON, DPM
225 W H ST
IRON MOUNTAIN, MI49801-4608
 Phone: 906-776-5940
 Fax: 906-779-2586
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for ADINA MARIA ANDERSON · (Female)

NPI Number 1730136672
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 05/27/2006
Last updated 01/12/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 5901002125
  • MI Medicaid 4881074
  • WI Medicaid 43241400
  • MI Other 5220021 BCBS OF MI
  • MI Other P00958672 RR MEDICARE
Hospital affiliation(s)
  • BELLIN MEMORIAL HSPTL - (Acute Care)
    744 S WEBSTER AVE
    GREEN BAY, WI 54305
  • DICKINSON COUNTY MEMORIAL HOSPITAL - (Acute Care)
    1721 S STEPHENSON AVE
    IRON MOUNTAIN, MI 49801
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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