Individual
MICHELLE LEVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
22361 W VILLAGE DR STE 102, DEARBORN, MI 48124-2227
(313) 563-2288
Mailing address
22361 W VILLAGE DR STE 102, DEARBORN, MI 48124-2227
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704306425
MI
Other
Enumeration date
08/31/2021
Last updated
09/12/2024
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