Individual
MELISSA GUENTHARDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2198 US 31 S, MANISTEE, MI 49660-9618
(877) 398-2013
Mailing address
310 GLOCHESKI DR, MANISTEE, MI 49660-2639
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704294913
MI
Other
Enumeration date
11/14/2018
Last updated
11/14/2018
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