Individual
ANNIE MAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
43555 DALCOMA DR, SUITE #4, CLINTON TOWNSHIP, MI 48038-6310
(586) 228-2882
(586) 463-7152
Mailing address
43555 DALCOMA DR, SUITE #4, CLINTON TOWNSHIP, MI 48038-6310
(586) 228-2882
(586) 463-7152
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
254547
NY
208100000X
Physical Medicine & Rehabilitation Physician
Primary
4301097750
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03154432
—
NY
Enumeration date
07/09/2008
Last updated
02/22/2011
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