Individual
CHRISTINA COULBECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
47601 GRAND RIVER AVE, NOVI, MI 48374-1233
(248) 465-4100
Mailing address
47601 GRAND RIVER AVE, NOVI, MI 48374-1233
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704208647
MI
Other
Enumeration date
10/15/2015
Last updated
10/15/2015
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