Individual
MARTHA LORETTA FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
722 HIGH ST, MARQUETTE, MI 49855-3720
(906) 361-4950
Mailing address
540 E MICHIGAN ST, MARQUETTE, MI 49855-3830
(906) 362-1262
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704134697
MI
Other
Enumeration date
09/25/2018
Last updated
09/25/2018
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