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Individual

MRS. BLYTHE POLLACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP-AC

Contact information

Practice address
1500 E MEDICAL CENTER DR, 10TH FLOOR C.S. MOTT CHILDREN'S HOSPITAL, ANN ARBOR, MI 48109-4286
(734) 763-5302
Mailing address
3621 SOUTH STATE STREET, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047

Taxonomy

Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
4704266977
MI

Other

Enumeration date
01/06/2014
Last updated
01/16/2014
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