Individual
MAAIKE MARJET WALLENSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
13725 STARR COMMONWEALTH RD # RS, ALBION, MI 49224-9525
(635) 410-7101
Mailing address
7019 INVERNESS DR, KALAMAZOO, MI 49009-3933
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704297806
MI
Other
Enumeration date
06/30/2021
Last updated
08/23/2021
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