Individual
MRS. SANDRA K. MACERONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 919-2499
Mailing address
13636 VIOLA DR, STERLING HEIGHTS, MI 48312-4267
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704169390
MI
Other
Enumeration date
08/07/2017
Last updated
08/07/2017
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