Individual
MIRIAN THIRUCHENDRU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
72 S WASHINGTON ST STE 102, OXFORD, MI 48371-6421
(248) 236-8333
Mailing address
72 S WASHINGTON ST STE 102, OXFORD, MI 48371-6421
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704320313
MI
Other
Enumeration date
07/09/2019
Last updated
07/09/2019
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