Individual
MRS. LAURA MATTSON ZANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
2500 HAMLIN DR, INKSTER, MI 48141-2348
(313) 561-5100
(313) 565-0309
Mailing address
26650 EUREKA RD, SUITE C-1, TAYLOR, MI 48180-4835
(734) 941-4991
(734) 941-4919
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704096784
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0H24998
BCBS
MI
05
—
1346542065
—
MI
Enumeration date
12/01/2010
Last updated
10/21/2011
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