Individual
MRS. PATRICIA SUE BEIERWALTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
CHILDREN'S HOSPITAL OF MICHIGAN, 3901 BEAUBIEN BLVD., DETROIT, MI 48201
(313) 745-5226
(313) 745-2405
Mailing address
750 LAKEPOINTE ST, GROSSE POINTE PARK, MI 48230-1706
(313) 745-0396
(313) 745-2405
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
4704139472
MI
Other
Enumeration date
01/10/2007
Last updated
07/08/2007
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