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Anne-mare Ice Md Pc
Pediatric Adolescent Medicine Physician in Detroit, Michigan
NPI 1639347586

Anne-mare Ice Md Pc is a Pediatric Adolescent Medicine Physician based in Detroit, MI and is specialized in Adolescent Medicine. Anne-mare Ice Md Pc practices in Detroit, MI. The NPI Number for Anne-mare Ice Md Pc is 1639347586 and holds a License No. 4301031683 (Michigan).

The current practice location address for Anne-mare Ice Md Pc is 22341 W 8 Mile Rd, Detroit, MI and can be reached out via phone at 313-255-2209.

Location: 22341 W 8 Mile Rd, Detroit, MI, 48219-1217
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1639347586
Provider Name
Anne-mare Ice Md Pc
Credential
Provider Entity Type
Organization
Address
22341 W 8 Mile Rd, Detroit, MI, 48219-1217
Phone Number
313-255-2209
Fax Number
Provider Enumeration Date
02/13/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1066910 05 MI
0H27243 01 MI BCBS OF MICHIGAN
institution
Provider Business Practice Location Address Details
Address
22341 W 8 Mile Rd
City
Detroit
State
Michigan
Zip
48219-1217
Phone Number
313-255-2209
Fax Number
person
Provider Business Mailing Address Details
Address
22341 W 8 Mile Rd
City
Detroit
State
Michigan
Zip
48219-1217
Phone Number
313-255-2209
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Adolescent Medicine
Taxonomy
2080A0000X
License No.
4301031683 (Michigan)
Definition
A pediatrician who 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.
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