Individual
MICHELLE WEISSGERBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6640 W MAUI LN, GLENDALE, AZ 85306
(906) 748-0567
Mailing address
6640 W MAUI LN, GLENDALE, AZ 85306-3164
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2464024
MN
163W00000X
Registered Nurse
RN177583
AZ
363LF0000X
Family Nurse Practitioner
Primary
5847
MN
Other
Enumeration date
07/31/2017
Last updated
05/24/2018
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