Individual
MS. MICHELE MARIE CORKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4646 JOHN R, JOHN D. DINGELL VA MEDICAL CENTER, DETROIT, MI 48201
(313) 576-4645
Mailing address
22479 HUNTINGTON CT, WOODHAVEN, MI 48183-1425
(734) 692-8056
Taxonomy
Speciality
Code
Description
License number
State
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
4704226006
MI
Other
Enumeration date
12/10/2008
Last updated
09/14/2020
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