Individual
MARY SWOBODA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2940 ELLSWORTH RD, YPSILANTI, MI 48197-7406
(734) 572-5777
Mailing address
2940 ELLSWORTH RD, YPSILANTI, MI 48197-7406
(734) 572-5777
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
4704266999
MI
Other
Enumeration date
08/19/2021
Last updated
08/19/2021
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