Individual
LAURA W ROADEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1500 EAST MEDICAL CENTER DRIVE, ANN ARBOR, MI 48109-5256
(734) 936-4000
(734) 763-4585
Mailing address
3621 SOUTH STATE STREET, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704231008
MI
Other
Enumeration date
09/18/2012
Last updated
09/18/2012
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