Search › Michigan › 164W00000X
Maryam Blackeagle
NPI 1104285881 · on the registry since 2016
Practice
- Address
- 8445 Norborne Ave
Dearborn Heights, MI 48127 - Phone
- (734) 727-3010
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-02-23
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