Individual
MARY FRANCES MYRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3409 LUDINGTON ST, SUITE 103, ESCANABA, MI 49829-4212
(906) 786-5707
(906) 789-4044
Mailing address
3409 LUDINGTON ST, SUITE 103, ESCANABA, MI 49829-4212
(906) 786-5707
(906) 789-4044
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301058390
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3146475
—
MI
Enumeration date
08/05/2006
Last updated
07/08/2007
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