Individual
MS. MARY THERESE URBANEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. PA-C
Contact information
Practice address
126 KAYSER AVE, ROYAL OAK, MI 48067-2865
(248) 399-3923
Mailing address
126 KAYSER AVE, ROYAL OAK, MI 48067-2865
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601002717
MI
Other
Enumeration date
07/31/2017
Last updated
07/31/2017
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