Individual
MARISA LEE HASSENZAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
555 TOWNER ST, YPSILANTI, MI 48198-5752
(734) 544-3000
(734) 544-6732
Mailing address
555 TOWNER ST, P.O. BOX 915, YPSILANTI, MI 48198-5752
(734) 544-3000
(734) 544-6732
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704294420
MI
Other
Enumeration date
04/22/2013
Last updated
04/22/2013
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