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Maryanne Connor

NPI 1932013380 · on the registry since 2026 · sole proprietor

Practice

Address
1679 Bloomfield Place Dr Apt 529b
Bloomfield Township, MI 48302
Phone
(415) 416-4127

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-10-01
Status
Not present in the most recent federal file

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