Individual
MARY ROERING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3890 PINE KNOLL DR, OKEMOS, MI 48864-3757
(517) 381-8017
Mailing address
3890 PINE KNOLL DR, OKEMOS, MI 48864-3757
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
4704227610
MI
Other
Enumeration date
08/20/2012
Last updated
08/20/2012
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