Individual
MRS. COLLEEN MARIE VARGOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
26206 W 12 MILE RD STE 105, SOUTHFIELD, MI 48034-1799
(248) 200-3715
(248) 200-3717
Mailing address
1242 CATALPA DR, BERKLEY, MI 48072-2048
(517) 899-1834
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704292161NSA210IC
MI
Other
Enumeration date
09/04/2021
Last updated
09/04/2021
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