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NPI 1588907208

IndividualActive

Andrew Bissonette

NPI 1588907208 · Critical Care Medicine (Internal Medicine) Physician · Detroit, MI

Provider details

NPI number: 1588907208
Entity type: Individual
Primary specialty: Critical Care Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
Sex: Male
Sole proprietor: No
License: 4301501706 (MI)

Specialties & taxonomies

Critical Care Medicine (Internal Medicine) PhysicianPrimary207RC0200XLicense 4301501706 (MI)
Allopathic & Osteopathic Physicians
Emergency Medicine Physician207P00000XLicense 4301501706 (MI)
Allopathic & Osteopathic Physicians
Internal Medicine Physician207R00000XLicense 4301501706 (MI)
Allopathic & Osteopathic Physicians

Practice location

2799 W Grand Blvd

Detroit, MI 48202-2608

Phone: (800) 653-6568

Approximate (ZIP-level) locationGet directions

More MI providers

Mailing address

118 N Howard St

Baltimore, MD 21201-3424

Additional practice locations (1)

1830 E Monument St
Suite 6-100
Baltimore, MD 21287-0020
Phone: (410) 955-5107

Registry dates

Enumerated: 2013-04-01
Last updated: 2022-02-21
Certified: 2022-02-21

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Andrew Bissonette — NPI 1588907208, Detroit, MI | NPI Central