Individual
KEVIN BRUCE MARCHILDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
5325 ELLIOTT DR FL 2, YPSILANTI, MI 48197-8633
(734) 712-8000
(734) 712-8010
Mailing address
24 FRANK LLOYD WRIGHT DR STE J2000, ANN ARBOR, MI 48105-9484
(734) 747-6766
(734) 222-3100
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704246454
MI
Other
Enumeration date
04/07/2019
Last updated
11/13/2019
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