Individual
CHELSEA HOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17717 MASONIC, FRASER, MI 48026-3158
(586) 294-0600
(586) 294-2525
Mailing address
17717 MASONIC, FRASER, MI 48026-3158
(586) 294-0600
(586) 294-2525
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704285890
MI
Other
Enumeration date
02/06/2015
Last updated
02/06/2015
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