Individual
SIBY BINU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
16151 19 MILE RD STE 302, CLINTON TOWNSHIP, MI 48038-1159
(586) 228-7433
Mailing address
6868 REDFORD CIR, TROY, MI 48085-1202
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704256891
MI
Other
Enumeration date
07/07/2022
Last updated
05/09/2023
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