Individual
ANN FLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2950 WEIDEMANN DR, CLARKSTON, MI 48348-1248
(248) 625-5463
Mailing address
2950 WEIDEMANN DR, CLARKSTON, MI 48348-1248
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
4704072562
MI
Other
Enumeration date
05/18/2009
Last updated
05/18/2009
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