Individual
DEBRA MARIE CONSIGLIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2025 FORT ST, WYANDOTTE, MI 48192-3841
(734) 283-9640
Mailing address
2025 FORT ST, WYANDOTTE, MI 48192-3841
(734) 283-9640
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704158682
MI
Other
Enumeration date
06/02/2006
Last updated
02/19/2016
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