Individual
MARION I WABANIMKEE-MINZEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2605 N WEST BAY SHORE DR, PESHAWBESTOWN, MI 49682-9275
(231) 534-7091
Mailing address
2605 N WEST BAY SHORE DR, PESHAWBESTOWN, MI 49682-9275
(231) 534-7091
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
6803088705
MI
172V00000X
Community Health Worker
6803088705
MI
175T00000X
Peer Specialist
6803088705
MI
Other
Enumeration date
09/11/2025
Last updated
09/11/2025
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