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Individual

DR. MONICA SUE TERRIAN

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
1721 S STEPHENSON AVE, IRON MOUNTAIN, MI 49801
(906) 776-5565
Mailing address
PO BOX 668, IRON MOUNTAIN, MI 49801
(906) 779-9870
(906) 779-5888

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MT013051
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4331066
MI
Enumeration date
02/14/2006
Last updated
07/08/2007
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