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Individual

MELISSA MARIE OUTMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
3322 E BELTLINE CT NE, GRAND RAPIDS, MI 49525-9480
(616) 226-2669
Mailing address
14215 28TH ST, LOWELL, MI 49331-8658
(301) 356-4713

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704284313
MI

Other

Enumeration date
12/07/2018
Last updated
12/07/2018
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