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VANESSA SANDRA NIBA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1500 E. MEDICAL CENTER DRIVE, SPC 5332, TAUBMAN CENTER, 2ND FLOOR, RECEPTION F, ANN ARBOR, MI 48109-5332
(734) 936-5738
Mailing address
1500 E MEDICAL CENTER DRIVE, 2920 TAUBMAN CENTER, SPC 5331, ANN ARBOR, MI 48109

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301511271
MI
390200000X
Student in an Organized Health Care Education/Training Program
4351046282
MI

Other

Enumeration date
05/20/2020
Last updated
11/08/2024
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