Individual
NANCY MICHAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
337442 12 MILE RD, STE 1010A, FARMINGTON HILLS, MI 48331
(248) 893-6610
Mailing address
27036 LADBROKE ST, NOVI, MI 48374-1006
(248) 225-3385
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704272309
MI
Other
Enumeration date
08/23/2018
Last updated
10/20/2023
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