Individual
MRS. MARISA ANNE BADANJEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
3555 W 13 MILE RD STE N120, ROYAL OAK, MI 48073-6710
(248) 551-1701
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
4704234212
MI
363LP2300X
Primary Care Nurse Practitioner
Primary
4704234212
MI
Other
Enumeration date
06/10/2009
Last updated
01/06/2021
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