Individual
MICHELLE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23573 KINNE AVE, MATTAWAN, MI 49071-9453
(269) 290-9761
Mailing address
23573 KINNE AVE, MATTAWAN, MI 49071-9453
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704371884
MI
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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