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Individual

MISS NANCY CLAIRE DEVINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2272 E. APPLE AVE, MUSKEGON, MI 49442
(231) 728-4797
Mailing address
2272 E APPLE AVE, MUSKEGON, MI 49442
(231) 747-7530
(231) 747-7531

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301082875
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
260F110140
BCBSM
MI
05
4559952
MI
Enumeration date
06/04/2006
Last updated
09/11/2012
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