Provider Demographics
NPI:1336345529
Name:POND, ANNE GILLIS (MD)
Entity Type:Individual
Prefix:DR
First Name:ANNE
Middle Name:GILLIS
Last Name:POND
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:22337 HAZELTON CT
Mailing Address - Street 2:
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48374-3881
Mailing Address - Country:US
Mailing Address - Phone:248-349-5088
Mailing Address - Fax:248-349-5088
Practice Address - Street 1:7001 ORCHARD LAKE RD
Practice Address - Street 2:SUITE #424
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48322-3604
Practice Address - Country:US
Practice Address - Phone:248-626-4600
Practice Address - Fax:248-626-3988
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-25
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
MI514992084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry