Organization
EASTER SEALS MICHIGAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MERRY RUTH MITCHELL R.N. (REGISTERED PSYCHIATRIST NURSE)
(248) 372-6896
Entity
Organization
Contact information
Practice address
22170 W 9 MILE RD, SOUTHFIELD, MI 48033-6007
(248) 372-6896
Mailing address
21395 OXFORD AVE, FARMINGTON HILLS, MI 48336-6150
(248) 473-1477
(248) 893-7842
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704068664
MI
Other
Enumeration date
10/15/2012
Last updated
10/15/2012
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