NPI 1700874294 · live from the CMS NPI Registry
John G Anderson, MD
Orthopaedic Surgery, Foot and Ankle Surgery in Grand Rapids, MI. National Provider Identifier 1700874294, active.
NPI record
| NPI | 1700874294 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery, Foot and Ankle Surgery 207XX0004X |
| Practice location | 1111 Leffingwell Ave Ne, Ste 100, Grand Rapids, MI 49525 |
| Practice phone | 616-459-7101 |
| Enumerated | October 10, 2005 |
| Last updated | January 30, 2013 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery, Foot and Ankle Surgery primary | 207XX0004X | 4301070607 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.