Individual
THERESA M ONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
20870 MACK AVENUE, GROSSE POINTE, MI 48236
(313) 885-2334
Mailing address
20870 MACK AVENUE, GROSSE POINTE, MI 48236
(313) 885-2334
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
4301085683
MI
208100000X
Physical Medicine & Rehabilitation Physician
49343
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
840027100
—
MN
Enumeration date
10/04/2006
Last updated
02/04/2016
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