| Doctor Name: | MR. ANDREW EDGAR MENDIANS |
| NPI Number: | 1386692218 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | 5101012343 |
| Business Practice Address: | 1806 E Parkdale Ave Ste 3 Manistee, MI - 496609364 |
| Business Phone Number: | 2313989536 |
| Business Fax Number: | 2313989541 |
| Mailing Address: | 1806 E Parkdale Ave, Ste 3 MANISTEE |
| State: | MI |
| Postal Code: | 496609364 |
| Phone Number: | 2313989536 |
| Fax Number: | 2313989541 |
| NPI Enumeration Date: | 05/04/2006 |
| NPI Last Update Date: | 11/13/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207YX0905X |
| License Number: | 5101012343 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Otolaryngology |
| Taxonomy Specialization: | Otolaryngology/Facial Plastic Surgery |
| Taxonomy Definition: | An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |