Individual
CHERYL KATHERINE MUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM, FNP-BC
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-2545
(313) 876-1305
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(800) 999-5829
(313) 876-1305
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704241058
MI
367A00000X
Advanced Practice Midwife
4704241058
MI
Other
Enumeration date
08/14/2008
Last updated
04/09/2026
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