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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
3000 ARLINGTON AVE STOP 1108, TOLEDO, OH 43614-2595
(419) 383-5322

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704263976
MI
363LF0000X
Family Nurse Practitioner
APRN.CNP.15473
OH

Other

Enumeration date
06/22/2011
Last updated
08/05/2026
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