Individual
KRISTIN KAY SULLIVAN JANSSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4646 JOHN R ST, DETROIT, MI 48201-1916
(313) 576-4310
Mailing address
2001 STANHOPE ST, GROSSE POINTE WOODS, MI 48236-1905
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1884007
MI
Other
Enumeration date
11/16/2007
Last updated
11/16/2007
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