| Brian E. Anderson, D.d.s., Pllc | |
|
125 N. Pansy St Ishpeming MI 49849 | |
| (906) 485-5575 | |
| (906) 485-1260 |
| Full Name | Brian E. Anderson, D.d.s., Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 125 N. Pansy St, Ishpeming, Michigan |
| Authorized Official Name and Position | Brian Edward Anderson (SOLE MEMBER) |
| Authorized Official Contact | 9064855575 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brian E. Anderson, D.d.s., Pllc 125 N. Pansy St Ishpeming MI 49849 Ph: (906) 485-5575 | Brian E. Anderson, D.d.s., Pllc 125 N. Pansy St Ishpeming MI 49849 Ph: (906) 485-5575 |
| NPI Number | 1063796456 |
|---|---|
| Provider Enumeration Date | 10/04/2011 |
| Last Update Date | 10/04/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063796456 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 2901019979 (Michigan) | Primary |
Widcorp Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 N Pansy Street, Ishpeming, MI 49849 Phone: 906-485-5575 Fax: 906-485-1260 | |
Jean L Farbod Dds Plc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 N Pansy St, Ishpeming, MI 49849 Phone: 906-485-5575 | |
James E Frounfelter Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 N Pansy Street, Ishpeming, MI 49849 Phone: 906-485-5575 Fax: 906-485-1260 |