Individual
NICOLE WINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1428 S LAPEER RD, LAKE ORION, MI 48360
(248) 693-0543
Mailing address
PO BOX 2137, BIRMINGHAM, MI 48012-2137
(248) 872-1200
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704246492
MI
Other
Enumeration date
12/05/2014
Last updated
02/10/2015
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