Individual
SONAM KRICHBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
302 E LIBERTY ST STE 201, ANN ARBOR, MI 48104-2206
(734) 846-8792
Mailing address
302 E LIBERTY ST STE 201, ANN ARBOR, MI 48104-2206
(734) 846-8792
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704271123
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
NA
—
Enumeration date
08/16/2017
Last updated
11/07/2020
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