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Organization

ESTATE OF DONALD J. TOUSIGNANT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. KIMBERLY JANINE TOUSIGNANT (PERSONAL REPRESENTATIVE)
(810) 364-9300
Entity
Organization

Contact information

Practice address
1100 MICHIGAN AVE, MARYSVILLE, MI 48040-2112
(810) 364-9300
Mailing address
1100 MICHIGAN AVE, MARYSVILLE, MI 48040-2112

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
05/12/2009
Last updated
05/12/2009
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