Individual
MRS. MARY ELLEN GORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSIS
Contact information
Practice address
2215 FULLER RD, ANN ARBOR, MI 48105-2303
(734) 845-5290
Mailing address
2215 FULLER RD, ANN ARBOR, MI 48105-2303
(734) 845-5290
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704204534
MI
Other
Enumeration date
08/15/2013
Last updated
08/15/2013
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