Individual
CHRISTINA BAMBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2924 PARKVIEW DR, MARQUETTE, MI 49855-8840
(906) 228-3575
Mailing address
2924 PARKVIEW DR, MARQUETTE, MI 49855-8840
(906) 228-3575
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704259419
MI
Other
Enumeration date
08/22/2011
Last updated
08/22/2011
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