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Individual

JUDITH MICHELLE MAYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
4301079689
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4301079689
MI
05
4416225-10
MI
Enumeration date
03/24/2006
Last updated
08/14/2026
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