Individual
MARY FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(800) 658-3656
(313) 876-1306
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(313) 874-4806
(313) 876-1305
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
35.142302
OH
207P00000X
Emergency Medicine Physician
Primary
4301504115
MI
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
4301504115
MI
Other
Enumeration date
05/04/2018
Last updated
04/14/2025
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