Advanced Asthma Allergy & Immunology Care PC

NPI #1053577536 in Ypsilanti, Michigan

Provider Information

NPI Number: 1053577536
Entity Type: Organization
Organization Name: Advanced Asthma Allergy & Immunology Care PC
Primary Specialty: Allergy & Immunology - Allergy
Enumeration Date: Aug 4, 2008
Last Updated: Aug 4, 2008

Practice Location

Address: 4870 W CLARK RD
Address 2: SUITE 202
City: Ypsilanti
State: Michigan
ZIP Code: 48197-1104
Phone: (734) 434-5430

Authorized Official

Name: MS. LISA STRINGHAM
Title: CREDENTIALING MANAGER
Phone: (269) 969-8920

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Allergy & Immunology - Allergy — Allergy	207KA0200X	Primary

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