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Individual

MARCINE RENEE WALTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.-C.

Contact information

Practice address
19020 FORT ST, RIVERVIEW, MI 48193-6701
(734) 362-5100
(734) 362-5147
Mailing address
19020 FORT ST, RIVERVIEW, MI 48193-6701
(734) 362-5100
(734) 362-5147

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601004073
MI

Other

Enumeration date
11/10/2006
Last updated
08/26/2008
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