Individual provider · Type 1 NPI
Anne Mare Ice
Pediatric Adolescent Medicine Physician · Southfield, MI
NPI number
1902839764
Active
Practice location
23077 Greenfield Rd Ste 200
Southfield, MI 48075-3750
Mailing address
22341 W 8 Mile Rd
Detroit, MI 48219-1217
Other practice locations
- 12121 Broadstreet Ave, Detroit, MI 48204-1550 · (313) 824-1000
- 10809 Mack Ave, Detroit, MI 48214-2119 · (313) 824-1000
- 27777 Lahser Rd, Southfield, MI 48034-4751 · (313) 824-1000
- 22341 W 8 Mile Rd, Detroit, MI 48219-1217 · (313) 255-2209
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Adolescent Medicine Physician Primary | 2080A0000X | 4301031683 (MI) |
Pediatric Adolescent Medicine Physician: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
7 other providers at this address
- Covenant Neurological Services, PCMedical Specialty Clinic/Center Southfield, MI NPI 1669611059
- Detroit Wayne County Health AuthorityFederally Qualified Health Center (FQHC) Southfield, MI NPI 1063364776
- Laila Staffing & Management Services IncNon-emergency Medical Transport (VAN) Southfield, MI NPI 1356003792
- Nosha Medical SuppliesDurable Medical Equipment & Medical Supplies Southfield, MI NPI 1760089908
- Christina Ezell Kirkwood, APRN, FNP-BCFamily Nurse Practitioner Southfield, MI NPI 1497476006
- Donna Burrell, CHWCommunity Health Worker Southfield, MI NPI 1083336192
- Skye MotenCommunity Health Worker Southfield, MI NPI 1043017288
About NPI 1902839764
Anne Mare Ice's National Provider Identifier is 1902839764, issued on Jul 7, 2006. The primary taxonomy on file is Pediatric Adolescent Medicine Physician (2080A0000X), and the practice location is in Southfield, MI. The record was last updated on May 9, 2024.