Individual
MARY KOSHEY MORREALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
SINAI GRACE HOSPITAL, 6071 W OUTER DR, DETROIT, MI 48235
(313) 493-6800
Mailing address
1560 E MAPLE RD, SUITE 400-CREDENTIALING, TROY, MI 48083-1138
(248) 581-5971
(248) 581-5640
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301083591
MI
Other
Enumeration date
06/07/2006
Last updated
09/23/2016
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