Individual
MARY BOUSQUETTE-TROTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
20093 GILL RD, LIVONIA, MI 48152-1119
(734) 546-2347
Mailing address
20093 GILL RD, LIVONIA, MI 48152-1119
(734) 546-2347
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704196161
MI
Other
Enumeration date
07/17/2015
Last updated
07/17/2015
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