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Individual

MARY MINOZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
100 E BIG BEAVER RD STE 900, TROY, MI 48083-1250
(586) 445-2911
Mailing address
100 E BIG BEAVER RD STE 900, TROY, MI 48083-1250
(586) 445-2911

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704334570NSA2202A
MI

Other

Enumeration date
05/02/2022
Last updated
05/11/2022
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