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LAURA A PFEIFFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
5716 MICHIGAN AVE, DETROIT, MI 48210-3039
(313) 554-1095
(313) 899-3560
Mailing address
559 W GRAND BLVD, DETROIT, MI 48216-2200
(313) 554-0485

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704195855
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4982747
MI
01
5008601000
BC/BS
MI
Enumeration date
10/31/2007
Last updated
05/18/2022
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