Individual
MAI SHOUA XIONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
11800 EAST 12 MILE ROAD, WARREN, MI 48093
(586) 573-5215
Mailing address
11105 MARSHA PLACE, WARREN, MI 48089
(586) 596-9013
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704281958
MI
Other
Enumeration date
01/04/2016
Last updated
01/04/2016
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