Individual
MISS MARNIE LYNN FUERTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
28000 DEQUINDRE RD, WARREN, MI 48092-2468
(248) 967-7000
Mailing address
RR # 1 WOODSLEE, WOODSLEE, ONTARIO N0R 1-V0
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704228859
MI
Other
Enumeration date
04/22/2009
Last updated
04/22/2009
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