Individual
CHEYENNE MACNARY BEACH
Active
Individual
CHEYENNE MACNARY BEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301108945
MI
208000000X
Pediatrics Physician
56318
CT
208000000X
Pediatrics Physician
MT197577
PA
2080P0202X
Pediatric Cardiology Physician
4301108945
MI
2080P0202X
Pediatric Cardiology Physician
Primary
56318
CT
Other
Enumeration date
06/23/2010
Last updated
04/06/2017
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