Individual
MRS. RENEE ANNETTE MIROVSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4576 W WALTON BLVD, WATERFORD, MI 48329-4077
(248) 673-6633
(248) 673-6677
Mailing address
4576 W WALTON BLVD, WATERFORD, MI 48329-4077
(248) 673-6633
(248) 673-6677
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704195563
MI
Other
Enumeration date
11/14/2007
Last updated
11/14/2007
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