Individual
MARY FUEHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
701 S HEALTH PKWY, THREE RIVERS, MI 49093-8352
(269) 278-1145
(269) 273-9633
Mailing address
701 S HEALTH PKWY, MEDICAL STAFF OFFICE, THREE RIVERS, MI 49093-8352
(269) 273-9789
(269) 273-9611
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
4704117577
MI
363L00000X
Nurse Practitioner
Primary
4704117577
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881678225
—
MI
05
—
4758070-10
—
MI
01
—
700G560080
BCBS GROUP-THREE RIVERS HEALTH
MI
Enumeration date
11/30/2005
Last updated
06/11/2009
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