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Individual

MARCIA RENWICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
27610 NICOLLE DR, HARRISON TOWNSHIP, MI 48045-5305
(586) 610-4150
Mailing address
27610 NICOLLE DR, HARRISON TOWNSHIP, MI 48045-5305

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703119761
MI

Other

Enumeration date
11/26/2019
Last updated
11/26/2019
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