Individual
MS. MARGARET TEAR JUSTUSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N., M.S.N.
Contact information
Practice address
2799 W GRAND BLVD, CFP-207, DETROIT, MI 48202-2608
(313) 916-2556
Mailing address
8506 GLENGARRY RD, GROSSE ILE, MI 48138-1354
(313) 916-2371
(313) 916-2993
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704173988
MI
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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