Individual
MEGAN MICHELLE VANSICKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2608 GOVERNMENT CENTER DR, MANISTEE, MI 49660-8302
(231) 723-8299
Mailing address
504 7TH ST, MANISTEE, MI 49660-1816
(231) 357-3437
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704312232
MI
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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