Individual
MRS. SOUZAN SIRYANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
31700 VAN DYKE AVE STE A, WARREN, MI 48093-7949
(586) 445-2911
Mailing address
31700 VAN DYKE AVE STE A, WARREN, MI 48093-7949
(586) 445-2911
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704301200
MI
Other
Enumeration date
06/26/2020
Last updated
06/26/2020
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