Individual
JON DAVID VISINTAINER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSN-RN
Contact information
Practice address
37490 DEQUINDRE RD, STERLING HEIGHTS, MI 48310-3503
(586) 275-0534
Mailing address
14986 COLLEGE AVE, ALLEN PARK, MI 48101-3041
(313) 544-0597
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704335098
MI
Other
Enumeration date
11/23/2020
Last updated
11/23/2020
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