Individual
TINA CROCENZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
38770 GARFIELD RD, STE 102, CLINTON TOWNSHIP, MI 48038-6631
(586) 421-4204
(586) 421-4222
Mailing address
38770 GARFIELD RD, STE 102, CLINTON TOWNSHIP, MI 48038-6631
(586) 421-4204
(586) 421-4222
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AG11180011
MI
Other
Enumeration date
11/20/2018
Last updated
06/11/2020
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