Andrew Andonian, is a
Emergency Medicine - Sports Medicine physician based in Grass Lake, Michigan. Andrew Andonian is licensed to practice in Michigan (license number 2601001733) and his current practice location is 11550 Warrior Trail, Grass Lake, Michigan. He can be reached at his office (for appointments etc.) via phone at
(517) 867-5581.
NPI number for Andrew Andonian is 1154998078 and his current mailing address is 114 Oak St, Brooklyn, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1154998078.
Physician's Profile
Full Name | Andrew Andonian |
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Gender | Male |
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Speciality | Emergency Medicine - Sports Medicine |
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Location | 11550 Warrior Trail, Grass Lake, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1154998078
- Provider Enumeration Date: 06/09/2021
- Last Update Date: 06/09/2021
Medical Identifiers
Medical identifiers for Andrew Andonian such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1154998078 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207PS0010X | Emergency Medicine - Sports Medicine | 2601001733 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Andrew Andonian is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Andrew Andonian, 114 Oak St, Brooklyn, MI 49230-8607 Ph: (517) 937-1924 | Andrew Andonian, 11550 Warrior Trail, Grass Lake, MI 49240 Ph: (517) 867-5581 |
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