Individual
MRS. LAURA FODOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3851 WEST RD, SUITE 2, TRENTON, MI 48183-2350
(734) 675-5100
(734) 692-5787
Mailing address
4967 CROOKS RD, STE 130, TROY, MI 48098-5801
(248) 952-1601
(248) 952-1614
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704266295
MI
Other
Enumeration date
11/04/2013
Last updated
08/06/2015
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