Individual
SAVANNAH L WALUKONIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
739 MEADOWLAKE RD, CANTON, MI 48188-1591
(231) 580-9284
Mailing address
739 MEADOWLAKE RD, CANTON, MI 48188-1591
(231) 580-9284
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
4704322636
MI
Other
Enumeration date
03/22/2021
Last updated
11/09/2022
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