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Individual

CARMINE MAZZUCA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ACNPC-AG

Contact information

Practice address
500 OSBORN BLVD, SAULT SAINTE MARIE, MI 49783-1822
(906) 635-4460
Mailing address
4000 WELLNESS DR, MIDLAND, MI 48670-1000

Taxonomy

Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
4704214883
MI

Other

Enumeration date
05/05/2025
Last updated
10/02/2025
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