Individual
MARY ELLEN BIENIASZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
200 ARNET ST, SUITE 200, YPSILANTI, MI 48198-5753
(734) 484-7288
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704101775
MI
Other
Enumeration date
07/31/2006
Last updated
02/10/2010
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