Individual
MRS. COLLEEN MARIE KIEHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
468 CADIEUX RD, GROSSE POINTE, MI 48230-1507
(734) 812-9197
Mailing address
1216 DEVONSHIRE RD, GROSSE POINTE PARK, MI 48230-1156
(734) 812-9197
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704276555
MI
363LF0000X
Family Nurse Practitioner
Primary
47042765555
MI
Other
Enumeration date
11/28/2016
Last updated
01/04/2019
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