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NPI Code Detail

MEDICARE: MRS. MARY ELIZABETH NAGY CTRS

MEDICARE: MRS. MARY ELIZABETH NAGY CTRS
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
1174400000XSpecialist24409MI

General Provider Information

NPI Number : 1497880298
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARY ELIZABETH NAGY CTRS
Provider Business Mailing Address
First Line : 35514 INDIGO DR
Second Line :
City : STERLING HEIGHTS
State : MI
Zip : 48310-4946
Country : US
Telephone Number : 586-979-8118
Fax Number : 586-979-8118
Provider Business Practice Location Address
First Line : 35514 INDIGO DR
Second Line :
City : STERLING HEIGHTS
State : MI
Zip : 48310-4946
Country : US
Telephone Number : 586-979-8118
Fax Number : 586-979-8118
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2007
Last Update Date : 07/08/2007

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