Individual
MRS. LIANE MARIE FORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1 FORD PL, DETROIT, MI 48202-3450
(313) 401-5099
Mailing address
1 FORD PL, DETROIT, MI 48202-3450
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704338860
MI
Other
Enumeration date
04/06/2026
Last updated
04/06/2026
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