Individual
ROBERTA W MOONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
3031 W GRAND BLVD, DETROIT, MI 48202-3046
(313) 916-3728
Mailing address
2012 LINWOOD AVENUE, ROYAL OAK, MI 48073-3867
(248) 217-6947
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
4704184344
MI
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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