Provider Demographics
NPI:1588624076
Name:SAXE, ANDREW W (MD)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:W
Last Name:SAXE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:804 SERVICE RD # A201
Mailing Address - Street 2:
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48824-7015
Mailing Address - Country:US
Mailing Address - Phone:517-884-2976
Mailing Address - Fax:517-432-3928
Practice Address - Street 1:1200 E MICHIGAN AVE
Practice Address - Street 2:STE 655
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48912-1800
Practice Address - Country:US
Practice Address - Phone:517-267-2460
Practice Address - Fax:517-267-2462
Is Sole Proprietor?:No
Enumeration Date:2006-03-27
Last Update Date:2016-08-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301029389208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI253087OtherHEALTH ADVANTAGE
MI4219191Medicaid
MI0987747OtherHEALTH PLUS
MI253087OtherMCLAREN HEALTH PLAN
MI0202511451OtherBLUE CROSS BLUE SHIELD MI
MI020B560300OtherBLUE CROSS BLUE SHIELD MI
MI4273740Medicaid
MIA35251OtherHEALTH NET FEDERAL SERVIC
MI020B560300OtherCOMMUNITY BLUE
MI1588624076Medicaid
MI4718182Medicaid
MIC7383OtherMCARE
MIA35251OtherHAP
MIOB560300OtherBLUE CARE NETWORK
MI020B560300OtherBLUE CHOICE
MIOB560300OtherBLUE CARE NETWORK
MI4718182Medicaid
MIOB56030023Medicare ID - Type Unspecified