Individual
LISA BRINKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
22101 MOROSS RD, DETROIT, MI 48236-2148
(313) 343-4000
Mailing address
1030 HARRINGTON ST, STE 303, MOUNT CLEMENS, MI 48043-2967
(586) 381-6236
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704306321
MI
363LF0000X
Family Nurse Practitioner
Primary
4704306321
MI
Other
Enumeration date
05/04/2020
Last updated
08/27/2020
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