Individual
COLETTE SUSANNE CARLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1375 R DALE WERTZ DR, BAD AXE, MI 48413-1365
(989) 269-9293
Mailing address
1375 R DALE WERTZ DR, BAD AXE, MI 48413-1365
(989) 269-9293
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704353955
MI
Other
Enumeration date
08/25/2021
Last updated
08/25/2021
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