Individual
MARIELL CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, DP-C
Contact information
Practice address
3400 S WASHINGTON RD, SAGINAW, MI 48601-4958
(989) 755-1347
Mailing address
3325 VOIGHT PL, SAGINAW, MI 48603-2355
(810) 965-8653
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
N/A
—
Enumeration date
07/29/2019
Last updated
07/29/2019
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