Individual provider · NPI-1

Andie G Andre, DO

Student in an Organized Health Care Education/Training Program · Mount Clemens, MI

NPI number1447054911
StatusActive
Last updated in NPPESJul 7, 2026

Details

NPI
1447054911
Entity type
Individual (NPI-1)
Name
Andie G Andre
Credential
DO
Sex
Female
Sole proprietor
No
Enumeration date
Apr 3, 2025
Certification date
Jul 7, 2026
Last updated
Jul 7, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Other names

  • Andie Andre (Professional Name)

Practice location

1000 Harrington St
Mount Clemens, MI 48043-2920

Phone 224-489-0455

Mailing address

1000 Harrington St
Mount Clemens, MI 48043-2920

Phone 224-489-0455

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