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Individual

MR. TERRY NEIL MEHIGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
3800 HOLLYWOOD RD STE 104, SAINT JOSEPH, MI 49085-8511
(269) 428-0819
(269) 428-0841
Mailing address
2165 BROWN SCHOOL RD, SAINT JOSEPH, MI 49085-2903
(574) 215-4823

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
4704280228
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4704280228
NURSE PRACTITIONER LICENSE
MI
Enumeration date
08/30/2017
Last updated
03/17/2018
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