Individual
MRS. CAITLIN RISTAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3980 JOHN R ST, DETROIT, MI 48201-2018
(313) 745-7538
Mailing address
3980 JOHN R ST, DETROIT, MI 48201-2018
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704290244
MI
Other
Enumeration date
01/07/2016
Last updated
12/06/2016
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