MEDICARE: DR. JOANNE MARGARET POHL PHD, RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2200X	Adult Health Nurse Practitioner	4704106646	MI

General Provider Information

NPI Number	:	1104935824
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOANNE MARGARET POHL PHD, RN

Provider Business Mailing Address
First Line	:	1230 N MAPLE RD
Second Line	:
City	:	ANN ARBOR
State	:	MI
Zip	:	48103-2842
Country	:	US
Telephone Number	:	734-998-6117
Fax Number	:	734-998-7163

Provider Business Practice Location Address
First Line	:	1230 N MAPLE RD
Second Line	:
City	:	ANN ARBOR
State	:	MI
Zip	:	48103-2842
Country	:	US
Telephone Number	:	734-998-6117
Fax Number	:	734-998-7163

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/29/2006
Last Update Date	:	07/08/2007

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