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Individual

DR. MARY C FERRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
4845 E 14 MILE RD, STERLING HEIGHTS, MI 48310-6442
(586) 977-5780
(586) 977-0391
Mailing address
4845 E 14 MILE RD, STERLING HEIGHTS, MI 48310-6442
(586) 977-5780
(586) 977-0391

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101007911
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
121172
CARE-PREFERRED CHOICES
MI
05
1972587806
MI
01
700H217350
BLUE SHIELD
MI
Enumeration date
12/05/2005
Last updated
08/30/2013
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