Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARY BETH ANDERSON, D.O.
Active Sole ProprietorDR. MARY BETH ANDERSON, D.O. is a Dermatopathology (Pathology) healthcare provider located in CLINTON TOWNSHIP, Michigan. NPI 1457419160 is currently active in the NPPES registry. Verify at CMS.
Dermatopathology (Pathology) · CLINTON TOWNSHIP, MI
Registration Details
- NPI Number
- 1457419160
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 5, 2006 (19.712825545555 yrs)
- Last Updated
- Jul 8, 2007
- License
-
5101011355 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
18756 MILLAR RDCLINTON TOWNSHIP, MI, 480362095Browse MI providers · Browse ZIP 48036
- Phone
- 5863810177
- Fax
- 8599877661
- Primary Specialty
-
Dermatopathology (Pathology)
207ZD0900X
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.