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11800 E 12 MILE RD WARREN MI 480933472
SANDRA PARRY is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1265513980. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 1355480047. The primary specialty is NURSE PRACTITIONER. The organization is ST JOHN MACOMB OAKLAND HOSPITAL. The address is 11800 E 12 MILE RD, , WARREN, MI, 480933472. The zip code is 480933472.
|Nation Provider ID||1265513980|
|PAC ID by PECOS||1355480047|
|Professional Enrollment ID||I20091210000107|
|Medical School Name||WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE|
|Primary Specialty||NURSE PRACTITIONER|
|All secondary specialties|
|Organization Name||ST JOHN MACOMB OAKLAND HOSPITAL|
|Group Practice PAC ID||7315859725|
|Number of Group Practice members||127|
|Address||11800 E 12 MILE RD, , WARREN, MI, 480933472|
|Hospital affiliation LBN|