Individual
MARY THERESE AUBREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
25900 GREENFIELD RD STE 600, OAK PARK, MI 48237-1267
(248) 967-8751
Mailing address
7345 CHULA VISTA LN, BLOOMFIELD HILLS, MI 48301-3917
(313) 570-7094
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601006487
MI
Other
Enumeration date
12/13/2012
Last updated
12/13/2012
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