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Individual

CHRISTINE MAXIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
510 HIGHLAND AVE # 192, MILFORD, MI 48381-1516
(810) 853-5875
(586) 279-4515
Mailing address
3390 IVANREST AVE SW, GRANDVILLE, MI 49418-2020
(616) 249-8340

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704238561
MI
363LF0000X
Family Nurse Practitioner
Primary
4704238561
MI

Other

Enumeration date
08/31/2015
Last updated
03/10/2016
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