Individual
ARCHANA MANDHARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
15474 N HAGGERTY RD, PLYMOUTH, MI 48170-4893
(877) 448-3627
(866) 507-1164
Mailing address
901 MCCLINTOCK DR STE 202, BURR RIDGE, IL 60527-0872
(877) 448-3627
(866) 507-1164
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AG07210186
MI
Other
Enumeration date
10/21/2021
Last updated
10/21/2021
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