Individual
NADINE MARIE MASEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4101 S CANTON CENTER RD, CANTON, MI 48188-2489
(734) 397-6115
Mailing address
4101 S CANTON CENTER RD, CANTON, MI 48188-2489
(734) 397-6115
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
279312
MI
Other
Enumeration date
06/19/2014
Last updated
06/20/2014
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