Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 4301069914 | MI |
NPI | 1235174996 |
---|---|
Provider Name | Dr. Annie Agbor Arrey Mensah |
First Address | Southfield, MI 48034-1045 |
Second Address | Farmington Hills, MI 48331 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2006 |
Last Update Date | 12/07/2019 |