Individual
MAUREEN ELIZABETH HERGENREDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN BA
Contact information
Practice address
1971 8 MILE RD, KAWKAWLIN, MI 48631-9779
(989) 415-8566
Mailing address
1971 8 MILE RD, KAWKAWLIN, MI 48631-9779
(989) 415-8566
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704213066
MI
Other
Enumeration date
04/07/2017
Last updated
04/07/2017
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