Individual
MRS. MICHELLE BERCILES VILLAREAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2221 LIVERNOIS RD, TROY, MI 48083-1603
(248) 250-9474
Mailing address
561 W SARATOGA ST, FERNDALE, MI 48220-3339
(586) 439-8668
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704298684
MI
Other
Enumeration date
11/13/2018
Last updated
11/13/2018
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