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Contact Information

GERALYNN M MICKIEWICZ, RN
279 N GROESBECK
MOUNT CLEMENS, MI48043
 Phone: 586-627-0024
 Fax: 586-627-0027
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for GERALYNN M MICKIEWICZ · (Female)

NPI # 1457477861
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 03/21/2007
Last updated 02/07/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4704122851
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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