Individual
MARISA ANNE KONZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
45300 CHERRY HILL RD, CANTON, MI 48187-5073
(734) 981-3968
Mailing address
2207 MACE AVE, ROYAL OAK, MI 48067-2311
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704342989
MI
Other
Enumeration date
07/12/2024
Last updated
07/26/2024
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