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Individual

MS. JUDITH HARRIET TIGAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
21415 CIVIC CENTER DR, STE 355, SOUTHFIELD, MI 48076-3954
(734) 941-4991
(734) 941-4919
Mailing address
1827 GOLF RIDGE DR, BLOOMFIELD HILLS, MI 48302-1721
(248) 626-6123
(248) 626-6123

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704239481
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0H27351
BCBSM
MI
05
1598046526
MI
Enumeration date
09/03/2011
Last updated
05/08/2017
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