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MRS. GEORGIA A SUMMERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
425 CORNING ST, MARQUETTE, MI 49855-9306
(906) 249-1996
(906) 486-6898
Mailing address
PO BOX 260, ISHPEMING, MI 49849-0260
(906) 485-2143
(906) 486-6898

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704119201
MI
363LF0000X
Family Nurse Practitioner
Primary
4704119201
MI

Other

Enumeration date
05/05/2008
Last updated
05/05/2008
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