Individual
NICOLE FUERSTNAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13101 ALLEN RD, SOUTHGATE, MI 48195-2216
(734) 287-1500
Mailing address
45036 SALTZ RD, CANTON, MI 48187-2972
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/12/2019
Last updated
03/12/2019
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