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Individual

EMILY REBECCA BUDDEMEYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
814 N MACOMB ST STE 1, MONROE, MI 48162-3085
(734) 242-2255
Mailing address
814 N MACOMB ST STE 1, MONROE, MI 48162-3085

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
4704362203
MI
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.026195
OH

Other

Enumeration date
03/03/2020
Last updated
10/27/2020
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