Individual
JUDITH JO COLLICA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1021 KARL GREIMEL DR STE 100, BRIGHTON, MI 48116-9465
(810) 220-3766
(810) 225-8702
Mailing address
1021 KARL GREIMEL DR STE 100, BRIGHTON, MI 48116-9465
(810) 220-3766
(810) 225-8702
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
4074070674
MI
Other
Enumeration date
06/03/2010
Last updated
06/03/2010
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