Healthcare Provider Details

I. General information

NPI: 1548175482
Provider Name (Legal Business Name): ERMINA NMN KARASULJLIC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 N INGALLS ST
ANN ARBOR MI
48109-2003
US

IV. Provider business mailing address

9670 GOLD ARBOR RD
PLYMOUTH MI
48170-4307
US

V. Phone/Fax

Practice location:
  • Phone: 734-936-4000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number4704402799
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: