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Individual

MICHAEL CHARLES RONDEAU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
N.P.

Contact information

Practice address
580 W COLLEGE AVE, MARQUETTE, MI 49855-2736
(906) 228-9440
Mailing address
580 W COLLEGE AVE, MARQUETTE, MI 49855-2736
(906) 228-9440

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704246718
MI
363LA2100X
Acute Care Nurse Practitioner
4704246718
MI
363LA2200X
Adult Health Nurse Practitioner
4704246718
MI
363LG0600X
Gerontology Nurse Practitioner
Primary
4704246718
MI

Other

Enumeration date
01/17/2017
Last updated
02/08/2021
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