| Mary Short-ray D.o., P.c. | |
|
180 Little Lake Dr Suite 5 Ann Arbor MI 48103-6219 | |
| (734) 904-2496 | |
| (248) 363-1393 |
| Full Name | Mary Short-ray D.o., P.c. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 180 Little Lake Dr, Ann Arbor, Michigan |
| Authorized Official Name and Position | Mary E. Short (PHYSICIAN/PRESIDENT) |
| Authorized Official Contact | 7349042496 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Short-ray D.o., P.c. 180 Little Lake Drive Suite 5 Ann Arbor MI 48103 Ph: (734) 904-2496 | Mary Short-ray D.o., P.c. 180 Little Lake Dr Suite 5 Ann Arbor MI 48103-6219 Ph: (734) 904-2496 |
| NPI Number | 1356504427 |
|---|---|
| Provider Enumeration Date | 07/08/2008 |
| Last Update Date | 08/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356504427 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 5101011718 (Michigan) | Primary |
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