Individual
MRS. MARY KATHRYN GANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
345 NORTH COUNTY LINE HWY, DEERFIELD, MI 49238
(517) 447-4053
Mailing address
345 NORTH COUNTY LINE HWY, DEERFIELD, MI 49238
(517) 447-4053
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
47-04-198423
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4882886
—
MI
Enumeration date
10/03/2006
Last updated
07/09/2007
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