Individual provider · NPI-1

Phillip Anderson, DO

Orthopaedic Surgery · Mount Clemens, MI

NPI number1700560489
StatusActive
Last updated in NPPESJun 13, 2023

Details

NPI
1700560489
Entity type
Individual (NPI-1)
Name
Phillip Anderson
Credential
DO
Sex
Male
Sole proprietor
No
Enumeration date
Jun 13, 2023
Certification date
Jun 13, 2023
Last updated
Jun 13, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207X00000X Orthopaedic Surgery5151015999MIYes

Practice location

1000 Harrington St
Mount Clemens, MI 48043-2920

Phone 586-790-9003

Mailing address

1000 Harrington St
Mount Clemens, MI 48043-2920

Phone 586-790-9003

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Orthopaedic Surgery providers in Mount Clemens, MI