Individual
MRS. GLORIA ANN IRELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN MSN CNP CERTIFIED
Contact information
Practice address
22101 MOROSS ROAD PB 1, SUITE 332 ST JOHN HOSPITAL & MEDICAL CENTER, DETROIT, MI 48236
(810) 794-0003
Mailing address
6345 GENAW ROAD, ALGONAC, MI 48001
(810) 794-0003
(810) 794-0003
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704136816
MI
Other
Enumeration date
10/05/2006
Last updated
01/30/2012
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