Individual
MARY KRIKOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
36190 WALTHAM DR, STERLING HEIGHTS, MI 48310-4831
(734) 925-3165
(734) 925-3165
Mailing address
36190 WALTHAM DR, STERLING HEIGHTS, MI 48310-4502
(734) 925-3165
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704291626
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704291626
LARA
MI
01
—
F0415037
AANP
MI
Enumeration date
07/12/2017
Last updated
04/06/2023
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