Anderson, Adina-Maria

Anderson, Adina-Maria is an individual health care provider with primary practice located at 225 W H St , Iron Mountain MI 49801-4608. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Anderson, Adina-Maria can be contacted via phone (906) 776-5940.

Contact Information

Primary practice address
225 W H St Iron Mountain MI 49801-4608
Phone: (906) 776-5940
Fax: (906) 779-2586
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 5901002125 Michigan

Profile Details

NPI number 1730136672
LBN Legal business name Anderson, Adina-Maria
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2006
Last updated Jan 12th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730136672 NPPES
Wisconsin MEDICAID 43241400
Wisconsin Other 5220021
Wisconsin MEDICAID 4881074
Wisconsin Other P00958672

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