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Individual

MARY TINKLEPAUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ANP-BC, PHMNP-BC

Contact information

Practice address
1000 HOUGHTON AVE, SAGINAW, MI 48602-5303
(989) 583-6800
(989) 583-6915
Mailing address
1000 HOUGHTON AVE, SAGINAW, MI 48602-5303
(989) 583-6800
(989) 583-6915

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704261537
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704261537
MI

Other

Enumeration date
02/07/2014
Last updated
04/02/2021
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