Vivian, Andrea Susan

Vivian, Andrea Susan is an individual health care provider with primary practice located at 50475 Fellows Hill Dr , Plymouth MI 48170-6351. She recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Dental Providers / Dentist. Dental Providers / Dentist is her primary health care specialty. Vivian, Andrea Susan can be contacted via phone (734) 453-7948.

Contact Information

Primary practice address
50475 Fellows Hill Dr Plymouth MI 48170-6351
Phone: (734) 453-7948
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 5302022074 Michigan
Dental Providers / Dentist 122300000X 2901014159 Michigan

Profile Details

NPI number 1447263181
LBN Legal business name Vivian, Andrea Susan
Credentials DDS, RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2006
Last updated Jul 23rd, 2016 - about 9 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.

Request for update

Popular Providers