Individual
MARY CONNORS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
15474 N HAGGERTY RD, PLYMOUTH, MI 48170-4893
(734) 335-6103
(734) 404-5317
Mailing address
15474N HAGGERTY RD, PLYMOUTH, MI 48170-4893
(734) 335-6103
(734) 404-5317
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704148980
MI
Other
Enumeration date
11/17/2015
Last updated
11/23/2016
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