Individual
KIMBERLY ANN DEITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2500 7TH AVE S, ESCANABA, MI 49829-1176
(906) 786-6441
Mailing address
2500 7TH AVE S, ESCANABA, MI 49829-1176
(906) 786-6441
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704408688
MI
Other
Enumeration date
01/20/2025
Last updated
01/20/2025
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