Individual
MARIANNE HIMEBAUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12748 SHIRE RD, WOLVERINE, MI 49799-9626
(906) 361-0525
Mailing address
41800 W 11 MILE RD STE 109, NOVI, MI 48375-1818
(906) 361-0525
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
4704244906
MI
Other
Enumeration date
09/16/2025
Last updated
04/11/2026
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