Individual
MICHELLE FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20769 E 13 MILE RD, ROSEVILLE, MI 48066-4503
(586) 439-5088
Mailing address
20769 E 13 MILE RD, ROSEVILLE, MI 48066-4503
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704309683
MI
363LF0000X
Family Nurse Practitioner
Primary
4704309683
MI
Other
Enumeration date
01/16/2017
Last updated
09/26/2017
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