Individual
MARY C CAVERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
3901 BEAUBIEN, CHILDREN'S HOSPITAL OF MI, DETROIT, MI 48201-2119
(313) 745-5515
Mailing address
4201 ST. ANTOINE - UHC 5D MAILBOX 226, UNIVERSITY PEDIATRICIANS, DETROIT, MI 48201
(313) 745-0445
(313) 966-0665
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4704159872
MI
363L00000X
Nurse Practitioner
Primary
36300000X
MI
Other
Enumeration date
02/19/2010
Last updated
07/25/2017
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