Individual
MARY LYNN WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4260 VAN DYKE RD, SUITE 101, ALMONT, MI 48003-8546
(810) 798-3994
(586) 798-8212
Mailing address
4260 VAN DYKE RD, SUITE 101, ALMONT, MI 48003-8546
(810) 798-3994
(586) 798-8212
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301054742
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4373843
—
MI
01
—
700E012740
BCBS GROUP NUMBER
MI
Enumeration date
03/08/2006
Last updated
02/24/2023
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