Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 4301078199 | MI |
NPI | 1003870148 |
---|---|
Provider Name | Dr. Anne M Abrahamson |
First Address | Wyandotte, MI 48192-5951 |
Second Address | Wyandotte, MI 48192-5951 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2006 |
Last Update Date | 29/07/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
5194927 | (05) | MI |
I01103 | (02) | MI |