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Search › Michigan › 363L00000X

Miranda Macko, AGNP-C

NPI 1710730981 · on the registry since 2024

Practice

Address
904 Mason St
Dearborn, MI 48124
Phone
(313) 586-7525
Organisation at this address
Ma Sobh Do Plc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
363L00000X
363L00000X
Also registered as
363LA2200X
363LG0600X
363LP2300X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-12-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan