Mary Therese Aubrey, PA-C
Individual provider Active NPI Physician Assistant · Oak Park, MI
NPI 1508102922 · NPPES record last updated Dec 13, 2012
Key facts
- NPI
- 1508102922
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 5601006487 (MI)
- Practice address
- 25900 Greenfield Rd Ste 600
Oak Park, MI 48237-1267 - Phone
- (248) 967-8751
- NPI assigned
- Dec 13, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601006487 | MI | Yes |
Addresses
Primary practice location
25900 Greenfield Rd Ste 600
Oak Park, MI 48237-1267
Mailing address
7345 Chula Vista LN
Bloomfield Hills, MI 48301-3917
Phone (313) 570-7094
Other providers in Oak Park, MI
- Nonie Arora
- Art of Kinetics Therapy LLC
- Ascending Home Physicians, P.C.
- Ashia Whole Life
- Lakirah Ashley
- Ania Austin
- Azm Logistics & Transportation LLC
- Baby&Me
- Ursula Baker-Dunson
- Bangla Town Home Care LLC
All providers in Oak Park, MI · Physician Assistant in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 13, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.