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Individual

ROSEMARIE MACERA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4201 SAINT ANTOINE ST, DETROIT, MI 48201-2153
(313) 745-3356
Mailing address
3990 JOHN R ST, DETROIT, MI 48201-2018
(313) 745-8040

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704275925
MI
363LA2100X
Acute Care Nurse Practitioner
4704275925
MI

Other

Enumeration date
08/02/2014
Last updated
11/19/2015
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