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Individual

MS. BRENDA SUE POLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NPC

Contact information

Practice address
405 W GREENLAWN AVE, SUITE 230, LANSING, MI 48910
(517) 485-8217
(517) 485-3871
Mailing address
3434 W ST JOSEPH ST, LANSING, MI 48917
(517) 372-2045

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704207280
MI

Other

Enumeration date
08/30/2006
Last updated
07/08/2007
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