Individual
JOSEPH R MAZUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
19100 GODDARD RD, ALLEN PARK, MI 48101-1156
(313) 763-0309
Mailing address
15224 JONAS AVE, ALLEN PARK, MI 48101-1712
(313) 443-9652
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704358293
MI
Other
Enumeration date
12/07/2023
Last updated
12/07/2023
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