Individual
MICHELL PETER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
511 GRIFFIN RD, WEST BRANCH, MI 48661-9251
(989) 345-5571
Mailing address
511 GRIFFIN RD, WEST BRANCH, MI 48661-9251
(989) 345-5571
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704309163
MI
Other
Enumeration date
10/13/2015
Last updated
10/13/2015
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