Individual
PROF. MARY ANNE MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 898-5000
Mailing address
7225 JACKSON PARK DR, BLOOMFIELD HILLS, MI 48301-3927
(248) 642-4731
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704120507
MI
Other
Enumeration date
08/21/2009
Last updated
08/21/2009
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