Individual
MS. TINA ADKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13346 MARK ST, SOUTHGATE, MI 48195-2423
(734) 771-9232
Mailing address
13346 MARK ST, SOUTHGATE, MI 48195-2423
(173) 477-1923
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704172924
MI
Other
Enumeration date
05/23/2022
Last updated
05/23/2022
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