Individual
MARA CHRISTINE NIEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 898-5000
Mailing address
937 MARVELL PL, WATERFORD, MI 48327-3120
(586) 214-1762
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F09191341
MI
Other
Enumeration date
10/20/2019
Last updated
10/20/2019
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