Individual
MRS. MARY ANN RAMBUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4646 JOHN R ST, DETROIT, MI 48201-1916
(313) 576-1000
(313) 576-1112
Mailing address
4646 JOHN R ST, DETROIT, MI 48201-1916
(313) 576-1000
(313) 576-1112
Taxonomy
Speciality
Code
Description
License number
State
1744R1102X
Research Study Specialist
840748
OK
363A00000X
Physician Assistant
Primary
840748
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
840748
PHYSICIAN ASSISTANT
—
Enumeration date
07/08/2009
Last updated
07/08/2009
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