person
Mary A Mandziara, NP
Acute Care Nurse Practitioner in Grosse Pointe Woods, Michigan
NPI 1669568341

Mary A Mandziara is an Acute Care Nurse Practitioner based in Grosse Pointe Woods, MI and is specialized in Acute Care. Mary A Mandziara practices in Grosse Pointe Woods, MI and has the professional credentials of NP. The NPI Number for Mary A Mandziara is 1669568341 and holds a License No. 4704131950 (Michigan).

The current practice location address for Mary A Mandziara is 19229 Mack Ave, Grosse Pointe Woods, MI and can be reached out via phone at 313-647-3245 and via fax at 313-647-3244.

Location: 19229 Mack Ave, Grosse Pointe Woods, MI, 48236-2858
person
Provider Profile Details
NPI Number
1669568341
Provider Name
Mary A Mandziara
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
19229 Mack Ave, Grosse Pointe Woods, MI, 48236-2858
Phone Number
313-647-3245
Fax Number
313-647-3244
Provider Enumeration Date
10/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4327582 05 MA
0866737 01 MI BCBSM PIN
4704131950 01 MI MICHIGAN LICENSE
institution
Provider Business Practice Location Address Details
Address
19229 Mack Ave
City
State
Zip
48236-2858
Phone Number
313-647-3245
Fax Number
313-647-3244
person
Provider Business Mailing Address Details
Address
19229 Mack Ave
City
State
Zip
48236-2858
Phone Number
313-647-3245
Fax Number
313-647-3244
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
License No.
4704131950 (Michigan)
Definition
Definition to come...
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