Dr. Anne Mare Ice
Pediatric Adolescent Medicine | Female
Dr. Anne Mare Ice is a Detroit, Michigan based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Dr. Anne Mare Ice is
22341 W 8 Mile Rd, Detroit, Michigan - 48219-1217. She can be contacted on phone at
313-255-2209 and fax number 313-255-0773.
Dr. Anne Mare Ice is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Anne Mare Ice is
1902839764 which was assigned by NPPES on 07 Jul, 2006 and it was last updated on 08 Jul, 2007.
Dr. Anne Mare Ice license number is
4301031683 for Pediatrics Adolescent Medicine (2080A0000X) in Michigan.
Dr. Anne Mare Ice specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Dr. Anne Mare Ice basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Dr. Anne Mare Ice |
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| Gender : | Female |
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| Sole Proprietor : | Yes |
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Business Address:
Dr. Anne Mare Ice address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 22341 W 8 Mile Rd
Detroit, MI, 48219-1217
United States |
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| Phone Number : | 313-255-2209 |
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| Fax Number : | 313-255-0773 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1902839764 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 07 Jul, 2006 |
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| Last Updated On : | 08 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Anne Mare Ice are as mentioned. Primary taxonomy code for Dr. Anne Mare Ice is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080A0000X | Pediatrics Adolescent Medicine | Yes | 4301031683 | MI |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Anne Mare Ice such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 1066910 | MEDICAID | MI | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 22341 W 8 Mile Rd
Detroit, MI, 48219-1217
United States |
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| Phone Number : | 313-255-2209 |
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| Fax Number : | 313-255-0773 |
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Business Location:
Patients can refer following map for directions to
Dr. Anne Mare Ice practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.