Individual
NICOLE SCHWARZ TEASDALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
8542 N CANTON CENTER RD, CANTON, MI 48187-1310
(734) 455-8310
Mailing address
25836 PETROS BLVD, NOVI, MI 48375-1534
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704253522
MI
Other
Enumeration date
11/09/2011
Last updated
02/05/2014
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