Individual
RENEE K HIBMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5498 109TH AVE, PULLMAN, MI 49450
(269) 236-5021
(269) 236-5411
Mailing address
50 INDUSTRIAL PARK DR, BANGOR, MI 49013
(269) 427-7937
(269) 427-5180
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704183457
MI
Other
Enumeration date
07/06/2006
Last updated
07/08/2007
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