Individual
MRS. MARY SUZANNE NIEMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
33720 HARPER AVE, CLINTON TWP, MI 48035
(586) 294-5210
(586) 294-0215
Mailing address
16187 WETHERBY ST, BEVERLY HILLS, MI 48025-5558
(248) 343-2368
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601005147
MI
Other
Enumeration date
08/09/2007
Last updated
06/24/2011
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