Individual
ANNA MIRACLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3884 MONITOR RD, BAY CITY, MI 48706-9298
(989) 671-2000
Mailing address
3884 MONITOR RD, BAY CITY, MI 48706-9298
(989) 671-2000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101026834
MI
207Q00000X
Family Medicine Physician
5151013787
MI
Other
Enumeration date
05/30/2019
Last updated
08/03/2022
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