Individual
MARJORIE CONKLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
102 E SUMMIT ST, BRECKENRIDGE, MI 48615-9584
(989) 763-5593
Mailing address
102 E SUMMIT ST, BRECKENRIDGE, MI 48615-9584
(989) 763-5593
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704351748
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881622892
—
MI
Enumeration date
05/12/2025
Last updated
05/12/2025
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