Individual
MARIE ANNA LEGINZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1500 E MEDICAL CENTER DR, 1ST FLOOR TAUBMAN RECP A, ANN ARBOR, MI 48109-5312
(734) 936-8051
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704185612
MI
363LA2100X
Acute Care Nurse Practitioner
4704185612
MI
Other
Enumeration date
11/20/2015
Last updated
02/29/2016
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