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Individual

MRS. MONIKA KATARZYNA MALYSA-HOUBEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP STUDENT

Contact information

Practice address
16001 W 9 MILE RD, SOUTHFIELD, MI 48075-4818
(249) 849-3000
Mailing address
7778 VISGER AVE, WATERFORD, MI 48329-1066
(248) 252-3838

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704259928
MI
363L00000X
Nurse Practitioner
Primary
4704259928
MI

Other

Enumeration date
04/11/2019
Last updated
01/10/2020
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