Individual
MICHELLE K JUSTUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5629 STADIUM DR, KALAMAZOO, MI 49009-1952
(269) 372-1000
(269) 372-0698
Mailing address
5629 STADIUM DR, KALAMAZOO, MI 49009-1952
(269) 372-1000
(269) 372-0698
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
4704195306
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4486060
—
MI
Enumeration date
01/25/2006
Last updated
10/29/2021
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