MEDICARE: ANNE M ERBEN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207KA0200X	Allergy Physician	4301055950	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1922098235
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNE M ERBEN MD

Provider Business Mailing Address
First Line	:	2950 E WATTLES RD STE 300
Second Line	:
City	:	TROY
State	:	MI
Zip	:	48085-7008
Country	:	US
Telephone Number	:	248-524-2121
Fax Number	:	248-524-2035

Provider Business Practice Location Address
First Line	:	2950 E WATTLES RD STE 300
Second Line	:
City	:	TROY
State	:	MI
Zip	:	48085-7008
Country	:	US
Telephone Number	:	248-524-2121
Fax Number	:	248-524-2035

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/27/2005
Last Update Date	:	05/14/2019

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Directions to “ ANNE M ERBEN MD” Practice Location

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