Doctor profile · Federal record
Dr. Anne Mare Ice
Pediatric Adolescent Medicine Physician · Southfield, MI
- NPI 1902839764
- 20 yrs on file
- Female
- Solo practice
- No sanctions
Practice & contact
Operates at 5 locations .
- Primary practice
-
23077 Greenfield RD Ste 200
Southfield, MI 480753750
(313) 824-1000 - Additional location
-
10809 Mack Ave
Detroit, MI 482142119 - Additional location
-
12121 Broadstreet Ave
Detroit, MI 482041550 - Additional location
-
22341 W 8 Mile RD
Detroit, MI 482191217
(313) 255-2209
fax (313) 255-0773 - Additional location
-
27777 Lahser RD
Southfield, MI 480344751 - Mailing address
-
22341 W 8 Mile RD
Detroit, MI 482191217
Show 2 more locations
Credentials & registration
- NPI registered
- July 2006 — 20 yrs on file
- Profile last updated
- May 9, 2024
- Specialty taxonomy
- 2080A0000X — NUCC code
- State license (1)
- Michigan #4301031683
- Medicaid
- MI #1066910
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1902839764. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$166
Transactions
8
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Phadia US Inc. | 5 | $111.63 | |
| GlaxoSmithKline, LLC. | 2 | $31.98 | |
| Cranial Technologies, Inc | 1 | $22.49 |
By nature of payment
Frequently asked questions
What is Dr. Anne Mare Ice's medical specialty?
Dr. Anne Mare Ice practices Pediatric Adolescent Medicine Physician in Southfield, MI.
Where does Dr. Anne Mare Ice practice?
Dr. Anne Mare Ice practices at 23077 Greenfield RD Ste 200, Southfield, MI 480753750. Office phone: 3138241000.
What is Dr. Anne Mare Ice's NPI?
Dr. Anne Mare Ice's National Provider Identifier (NPI) is 1902839764, issued by NPPES.