Anne-mare Ice Md Pc
Pediatric Adolescent Medicine
Anne-mare Ice Md Pc is a Detroit, Michigan based Pediatric center with medical specialization in
Pediatric Adolescent Medicine.
It is located at
22341 W 8 Mile Rd, Detroit, Michigan - 48219-1217. They can be contacted on phone at
313-255-2209.
NPI number (Unique professional ID) for Anne-mare Ice Md Pc is
1639347586 which was assigned by NPPES on 13 Feb, 2008 and it was last updated on 13 Feb, 2008.
Anne-mare Ice Md Pc license number is
4301031683 for Pediatrics Adolescent Medicine (2080A0000X) in Michigan.
Anne-mare Ice Md Pc 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:
Anne-mare Ice Md Pc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Anne-mare Ice Md Pc |
|---|
Business Address:
Anne-mare Ice Md Pc 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 |
|---|
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 : | 1639347586 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 13 Feb, 2008 |
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| Last Updated On : | 13 Feb, 2008 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Kassandraa Hill |
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| Official Title or Position : | GENERAL MANAGER |
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| Phone Number : | 313-255-4672 |
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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 Anne-mare Ice Md Pc are as mentioned. Primary taxonomy code for Anne-mare Ice Md Pc is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | 4301031683 | MI |
Legacy Identifiers:
Other legacy medical identifiers of Anne-mare Ice Md Pc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 0H27243 | Other | MI | BCBS OF MICHIGAN |
| 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 |
|---|
Business Location:
Patients can refer following map for directions to
Anne-mare Ice Md Pc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.