Individual
SARAH MARIE MERTZ-LISIECKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
24010 MAJESTIC ST, OAK PARK, MI 48237-3713
(313) 680-6687
Mailing address
24010 MAJESTIC ST, OAK PARK, MI 48237-3713
(313) 680-6687
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
4704357828
MI
Other
Enumeration date
08/02/2023
Last updated
08/02/2023
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