Individual
RONDA J MATTILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1414 W FAIR AVE, SUITE 190, MARQUETTE, MI 49855-2675
(906) 225-1321
(906) 228-9371
Mailing address
1414 W FAIR AVE, SUITE 190, MARQUETTE, MI 49855-2675
(906) 225-1321
(906) 228-9371
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704242379
MI
Other
Enumeration date
03/07/2016
Last updated
03/07/2016
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