IndividualActive
Andrea Pennington, MD
NPI 1720296411 · Physical Medicine & Rehabilitation Physician · Southfield, MI
Provider details
- NPI number
- 1720296411
- Entity type
- Individual
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 4301407512 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
25720 Southfield Rd Apt 104
Southfield, MI 48075-1842
Phone: (313) 300-3738
Fax: (313) 449-5862
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 37648
Oak Park, MI 48237-0648
Registry dates
- Enumerated
- 2007-05-18
- Last updated
- 2015-08-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.