Individual
CORRIE JO LUNDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 RIDGEWOOD DR, PRUDENVILLE, MI 48651-8426
(616) 600-2052
Mailing address
100 RIDGEWOOD DR, PRUDENVILLE, MI 48651-8426
(616) 600-2052
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
01/26/2022
Last updated
03/08/2022
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