Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Ian Jacob Anderson, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1669884433

Dr. Ian Jacob Anderson, MD is a Pathology in Detroit, Michigan. Qualified in 2012, 14 years ago. Practices with Mountain States Pathology PC, a 16-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
14
Licensed in
MI
In the registry since
2014
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

22101 Moross Rd # Ccb-Sb
Detroit, MI 48236-2148
Phone: (313) 343-3520
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 4301101517 (MI)

Record details

NPI number1669884433
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 28, 2014
Last updated in NPPESMay 26, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Mountain States Pathology Pc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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