Individual
KIMBERLY SUE OLDENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2300 N STALLMAN RD, SUTTONS BAY, MI 49682-9158
(231) 534-7200
Mailing address
2300 N STALLMAN RD, SUTTONS BAY, MI 49682-9158
(231) 534-7200
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704283424
MI
363LP2300X
Primary Care Nurse Practitioner
Primary
4704283424
MI
Other
Enumeration date
12/07/2020
Last updated
02/25/2024
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