Individual
MARIE ELIZABETH MANTEUFFEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, FNP-C
Contact information
Practice address
16258 FORT ST, SOUTHGATE, MI 48195-1401
(734) 250-9062
(734) 250-9072
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(800) 653-6568
(313) 876-1305
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704263976
MI
Other
Enumeration date
06/22/2011
Last updated
03/27/2023
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