Individual
JEFFREY MARK FUNCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
G-4443 MILLER ROAD, SUITE 100, FLINT, MI 48507
(810) 244-0038
Mailing address
PO BOX 670, LINDEN, MI 48451-0670
(810) 835-6743
(800) 852-2393
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
4704235503
MI
Other
Enumeration date
01/15/2019
Last updated
01/15/2019
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