Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANDREW ANDONIAN
ActiveSports Medicine (EM) · GRASS LAKE, MI
Registration Details
- NPI Number
- 1154998078
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 9, 2021 (4.868313866744 yrs)
- Last Updated
- Jun 9, 2021
- License
-
2601001733 (MI)
Practice Information
- Address
-
11550 WARRIOR TRAILGRASS LAKE, MI, 49240Browse MI providers · Browse ZIP 49240
- Phone
- 5178675581
- Primary Specialty
-
Sports Medicine (EM)
207PS0010X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.