Individual
KRISTEN MARIE CHURCHES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
11060 HI TECH DR, WHITMORE LAKE, MI 48189-9133
(734) 449-4649
Mailing address
10510 BLAINE RD, BRIGHTON, MI 48114-9646
(810) 632-4774
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
5201004833
MI
Other
Enumeration date
10/01/2007
Last updated
10/01/2007
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