Individual
MRS. SANDRA LEE HOUGHTALING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
2215 FULLER ROAD, ANN ARBOR, MI 48105-2303
(734) 769-7100
Mailing address
2215 FULLER RD, ANN ARBOR, MI 48105-2303
(734) 769-7100
Taxonomy
Speciality
Code
Description
License number
State
163WG0100X
Gastroenterology Registered Nurse
Primary
L2165578
MI
Other
Enumeration date
03/23/2012
Last updated
03/23/2012
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