SearchMichigan101YM0800X

Jerome Anderson

NPI 1780981514 · on the registry since 2011 · sole proprietor

Practice

Address
1151 Taylor St Ste 570a
Detroit, MI 48202
Phone
(313) 874-8715
Fax
(313) 874-8717
Organisation at this address
City Of Detroit
City Of Detroit
City Of Detroit
Todd-Phillips Children'S Home
Institute For Population Health
Inferred from a shared address, not stated in the registry.
Clinicians at this address
23

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-02-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan