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Contact Information

MARY C MENTAG, CNM
6777 W MAPLE RD
WEST BLOOMFIELD, MI48322-3013
 Phone: 313-516-2725
 Fax: 313-516-2735
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Advanced Practice Midwife

367A00000X 42 Certified Nurse Midwife
Indicates primary specialty

NPI Profile & details for MARY C MENTAG · (Female)

NPI Number 1801569223
Status Active
Credentials CNM (Certified Nurse Midwife)
Entity Individual
Enumeration date 07/30/2021
Last updated 12/27/2023 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • MI License # 4704334986
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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