Individual
MICHELLE CRYSTAL MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-BC
Contact information
Practice address
3031 COMMERCE DR STE A, FORT GRATIOT, MI 48059-4515
(810) 292-0557
(810) 292-0558
Mailing address
22026 WILSHIRE CIR, MACOMB, MI 48044-3719
(586) 604-8089
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704309421
MI
Other
Enumeration date
08/05/2022
Last updated
10/30/2023
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