Individual
MARILYN CHRISMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3601 W 13 MILE RD, FSC, ROYAL OAK, MI 48073-6712
(248) 423-2454
(248) 423-2576
Mailing address
3601 W 13 MILE RD, FSC, ROYAL OAK, MI 48073-6712
(248) 423-2454
(248) 423-2576
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
4704146989
MI
Other
Enumeration date
08/03/2006
Last updated
10/27/2009
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