Individual
CHRISTINE BUCHOLTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
259 LAMOREAUX DR NW, COMSTOCK PARK, MI 49321-9128
(616) 970-3734
Mailing address
259 LAMOREAUX DR NW, COMSTOCK PARK, MI 49321-9128
(616) 970-3734
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703097428
MI
Other
Enumeration date
07/14/2016
Last updated
07/14/2016
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