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Individual

RENEE MARIE VIGILANTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NNP-BC

Contact information

Practice address
3990 JOHN R ST, DETROIT, MI 48201-2018
(313) 745-8040
Mailing address
1407 KNIGHTSBRIDGE RD, CANTON, MI 48187-2976
(313) 300-9146

Taxonomy

Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
4704254570
MI

Other

Enumeration date
03/12/2018
Last updated
03/12/2018
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