Individual
MARIS MAHALAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1070 N MONROE ST STE B, MONROE, MI 48162-3113
(734) 240-8939
Mailing address
1070 N MONROE ST STE B, MONROE, MI 48162-3113
(734) 240-8939
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704349749
MI
Other
Enumeration date
06/08/2023
Last updated
06/08/2023
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