| |
5050 Marsh Rd, Suite 5, Okemos, MI 48864-1158 | |
(517) 940-8848 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Nurse Practitioner - Family |
Location | 5050 Marsh Rd, Okemos, Michigan |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
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1386178697 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 86029170 (Michigan) | Secondary |
363LF0000X | Nurse Practitioner - Family | 2013008347 (Michigan) | Primary |
Mailing Address | Practice Location Address |
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5050 Marsh Rd, Suite 5, Okemos, MI 48864-1158 Ph: (517) 940-8848 | 5050 Marsh Rd, Suite 5, Okemos, MI 48864-1158 Ph: (517) 940-8848 |