Individual
JOANN ROUPAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4100 JOHN R ST, DETROIT, MI 48201-2013
(519) 566-2900
(313) 576-8422
Mailing address
744 FALERIA STREET, BELLE RIVER, ON N0R 1-A0
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704228972
MI
Other
Enumeration date
06/18/2022
Last updated
03/28/2023
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