IndividualActive
Andrew Andonian
NPI 1154998078 · Sports Medicine (Emergency Medicine) Physician · Grass Lake, MI
Provider details
- NPI number
- 1154998078
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Emergency Medicine) PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 2601001733 (MI)
Mailing address
114 Oak St
Brooklyn, MI 49230-8607
Registry dates
- Enumerated
- 2021-06-09
- Last updated
- 2021-06-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.