NPI 1639347586 · live from the CMS NPI Registry
Anne-Mare Ice MD PC
Pediatrics, Adolescent Medicine in Detroit, MI. National Provider Identifier 1639347586, active.
NPI record
| NPI | 1639347586 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics, Adolescent Medicine 2080A0000X |
| Practice location | 22341 W 8 Mile Rd, Detroit, MI 48219 |
| Practice phone | 313-255-2209 |
| Enumerated | February 13, 2008 |
| Last updated | February 13, 2008 |
| Authorized official | Kassandra Hill, General Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics, Adolescent Medicine primary | 2080A0000X | 4301031683 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.