Individual
ANNE MARIE MICHON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3555 W 13 MILE RD STE N300, ROYAL OAK, MI 48073-6710
(248) 551-3302
(248) 551-7373
Mailing address
26901 BEAUMONT BLVD, SOUTHFIELD, MI 48033-3849
(248) 577-3313
(248) 577-3302
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704176675
MI
363LP0200X
Pediatric Nurse Practitioner
Primary
4704176675
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704176675
STATE LICENSE
MI
Enumeration date
06/14/2006
Last updated
11/14/2024
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