NPI 1588907208 · live from the CMS NPI Registry
Andrew Herbert Bissonette
Internal Medicine, Critical Care Medicine in Detroit, MI. National Provider Identifier 1588907208, active.
NPI record
| NPI | 1588907208 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Critical Care Medicine 207RC0200X |
| Practice location | 2799 W Grand Blvd, Detroit, MI 48202 |
| Practice phone | 800-653-6568 |
| Mailing address | 118 N Howard St, Apt. 406, Baltimore, MD 21201 |
| Enumerated | April 1, 2013 |
| Last updated | February 21, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Medicine | 207P00000X | 4301501706 (MI) |
| Internal Medicine | 207R00000X | 4301501706 (MI) |
| Internal Medicine, Critical Care Medicine primary | 207RC0200X | 4301501706 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.