Individual
MICHELLE SELESAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
43834 COLUMBIA DR, CLINTON TWP, MI 48038-1324
(313) 465-2854
Mailing address
43834 COLUMBIA DR, CLINTON TWP, MI 48038-1324
(313) 465-2854
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703107506
MI
Other
Enumeration date
01/31/2017
Last updated
01/31/2017
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