Individual
MRS. MAXINE VERNETTE HAWK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
39061 COMMONS DR., ROMULUS, MI 48174
(734) 729-8915
Mailing address
39061 COMMONS DR., ROMULUS, MI 48174
(734) 729-8915
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AG1015138
MI
Other
Enumeration date
06/06/2016
Last updated
06/06/2016
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