Individual
ANASTASIA KANELLOPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
744 W MICHIGAN AVE, SUITE 300, JACKSON, MI 49201-1900
(517) 768-0600
(517) 768-0606
Mailing address
744 W MICHIGAN AVE, SUITE 300, JACKSON, MI 49201-1900
(517) 768-0600
(517) 768-0606
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704294210
MI
Other
Enumeration date
09/02/2014
Last updated
09/02/2014
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