Provider Demographics
NPI:1578068763
Name:BIRIS, ANNE (LAC)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:
Last Name:BIRIS
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2300 WASHTENAW AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48104-4500
Mailing Address - Country:US
Mailing Address - Phone:734-761-5402
Mailing Address - Fax:
Practice Address - Street 1:2300 WASHTENAW AVE STE 101
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48104-4500
Practice Address - Country:US
Practice Address - Phone:734-761-5402
Practice Address - Fax:734-864-9052
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-28
Last Update Date:2022-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist