Individual
MARY J SCHIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2680 W CENTRE AVE, RAMBLING ROAD PEDIATRICS PORTAGE, PORTAGE, MI 49024-4828
(269) 324-2400
(269) 324-0450
Mailing address
2680 W CENTRE AVE, PORTAGE, MI 49024-4828
(269) 324-2400
(269) 324-0450
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
4704145107
MI
Other
Enumeration date
01/19/2006
Last updated
10/15/2014
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