Individual
MS. TAMMY MARIE NEELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C. PED., COA
Contact information
Practice address
308 S WARREN ST, PINCONNING, MI 48650-9428
(989) 737-6689
Mailing address
308 S WARREN ST, PINCONNING, MI 48650-9428
(989) 737-6689
Taxonomy
Speciality
Code
Description
License number
State
224L00000X
Pedorthist
Primary
CPED3150
MI
Other
Enumeration date
12/26/2010
Last updated
12/26/2010
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