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Individual

MIKAELA MOTICSAK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
46422 KRAMER DR, SHELBY TOWNSHIP, MI 48315-5734
(248) 930-2059
Mailing address
46422 KRAMER DR, SHELBY TOWNSHIP, MI 48315-5734
(248) 930-2059

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704263948
MI

Other

Enumeration date
06/09/2020
Last updated
06/09/2020
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