Individual
ANNE MARIE MCKUNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
813 E MICHIGAN AVE, JACKSON, MI 49201-2401
(517) 787-6001
(517) 782-2062
Mailing address
DEPARTMENT 272801, PO BOX 67000, DETROIT, MI 48267-0001
(517) 841-6913
(517) 841-6917
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704152445
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4394905
—
MI
01
—
500024273
RR MEDICARE
MI
Enumeration date
05/05/2006
Last updated
12/16/2020
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