Individual
MOLLY M MUIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1794 N LAPEER RD, SUITE A, LAPEER, MI 48446-7664
(810) 969-4501
(810) 969-4407
Mailing address
44405 WOODWARD AVE STE A, PONTIAC, MI 48341-5023
(248) 858-3000
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
4704212262
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000356101
ANTHEM
OH
01
—
05225
PARAMOUNT
OH
05
—
2528545
—
OH
01
—
344428256
FRONTPATH
OH
01
—
344428256087
CARESOURCE
OH
05
—
4638608
—
MI
05
—
4638617
—
MI
Enumeration date
07/13/2005
Last updated
04/29/2022
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