Individual
MS. MARY KORS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
22255 GREENFIELD RD, SUITE 349, SOUTHFIELD, MI 48075-3710
(248) 849-3247
(248) 849-2753
Mailing address
22255 GREENFIELD RD, SUITE 349, SOUTHFIELD, MI 48075-3710
(248) 849-3247
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
4704119136
MI
Other
Enumeration date
02/04/2008
Last updated
02/04/2008
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