Individual
CANDICE LYNNE VITALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
43475 DALCOMA DRIVE, STE 150, CLINTON TWP, MI 48038
(877) 784-3667
(248) 869-3982
Mailing address
29275 NORTHWESTERN HWY, STE 100, SOUTHFIELD, MI 48034
(877) 784-3667
(248) 869-3982
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704277903
MI
Other
Enumeration date
06/17/2013
Last updated
05/03/2018
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