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Individual

TERA L MAYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1500 E MEDICAL CENTER DR, B1 FLOOR CANCER & GERIATRICS CENTER RECP B, ANN ARBOR, MI 48109-5914
(734) 936-9814
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704245945
MI
363LA2200X
Adult Health Nurse Practitioner
4704245945
MI

Other

Enumeration date
08/18/2011
Last updated
11/03/2011
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