Individual
MARY C MENTAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
6777 W MAPLE RD, WEST BLOOMFIELD, MI 48322-3013
(313) 516-2725
(313) 516-2735
Mailing address
6777 W MAPLE RD, WEST BLOOMFIELD, MI 48322-3013
(313) 516-2725
(313) 516-2735
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
4704334986
MI
Other
Enumeration date
07/30/2021
Last updated
12/27/2023
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