Individual
MEGAN MARIE MICHELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A-GNP-C
Contact information
Practice address
4270 S BROTON RD, FRUITPORT, MI 49415-8673
(231) 750-4591
Mailing address
4270 S BROTON RD, FRUITPORT, MI 49415-8673
(231) 750-4591
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704268635
MI
Other
Enumeration date
03/08/2023
Last updated
03/08/2023
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