Individual
DR. REGINA MARIE KIRWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, RN, CPNP-PC
Contact information
Practice address
18 S MAIN ST, CUSTER, MI 49405-9624
(231) 236-7599
Mailing address
18 S MAIN ST, CUSTER, MI 49405-9624
(312) 236-7599
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
4704318537
MI
Other
Enumeration date
08/25/2020
Last updated
06/13/2022
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