Individual
MARY KATHERINE MCFETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
17886 FARMINGTON RD, LIVONIA, MI 48152-3104
(734) 263-2283
Mailing address
4140 S MAPLE RD, ANN ARBOR, MI 48108-9538
(616) 633-3328
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
4704313204
MI
Other
Enumeration date
09/30/2020
Last updated
09/30/2020
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