Individual
MRS. LINDA A VERGILIO-PANEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
50583 PRINCETON DR, MACOMB, MI 48044-1269
(313) 282-8811
Mailing address
50583 PRINCETON DR, MACOMB, MI 48044-1269
(313) 282-8811
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
—
—
363L00000X
Nurse Practitioner
Primary
4704160638
MI
Other
Enumeration date
02/24/2018
Last updated
03/03/2021
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