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Individual

PETRICA T MOLNAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
102 N ADELAIDE ST STE C, FENTON, MI 48430-2670
(810) 262-7030
(810) 208-0363
Mailing address
1 HURLEY PLZ, ATTN PROFESSIONAL BILLING DEPT, FLINT, MI 48503-5902
(810) 262-9002
(810) 262-9483

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704296874
MI
363LA2100X
Acute Care Nurse Practitioner
Primary
4704296874
MI
363LG0600X
Gerontology Nurse Practitioner
4704296874
MI
364SA2100X
Acute Care Clinical Nurse Specialist
4704296874
MI
364SG0600X
Gerontology Clinical Nurse Specialist
4704296874
MI

Other

Enumeration date
04/25/2021
Last updated
05/17/2023
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