Individual
JACLYN ESTHER MICHNIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11401 N RUSHTON RD, SOUTH LYON, MI 48178-9123
(248) 996-0421
Mailing address
11401 N RUSHTON RD, SOUTH LYON, MI 48178-9123
(248) 996-0421
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704286575
MI
Other
Enumeration date
09/23/2019
Last updated
04/21/2025
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