Individual
JAMIE RABIDEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5900 BYRON CENTER AVE SW, WYOMING, MI 49519-9606
(616) 252-7200
Mailing address
9277 W GRAND LEDGE HWY, SUNFIELD, MI 48890-9038
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704322461
MI
Other
Enumeration date
09/14/2022
Last updated
09/14/2022
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