Individual
SALLY SEGAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3865 LONE PINE RD APT 301, WEST BLOOMFIELD, MI 48323-2930
(248) 737-2132
(248) 737-2132
Mailing address
3865 LONE PINE RD APT 301, WEST BLOOMFIELD, MI 48323-2930
(248) 737-2132
(248) 737-2132
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704132288
MI
Other
Enumeration date
11/21/2014
Last updated
11/21/2014
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