Individual
MARY SUSAN MCMAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
21300 KELLY ROAD, EASTPOINTE, MI 48021
(586) 447-4200
(586) 447-4208
Mailing address
21300 KELLY ROAD, EASTPOINTE, MI 48021
(586) 447-4200
(586) 447-4208
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704101463
MI
Other
Enumeration date
10/31/2006
Last updated
07/08/2007
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