Individual
MOLLY LOUISE MCINNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1015 S WASHINGTON AVE FL 3, SAGINAW, MI 48601-2556
(989) 907-8716
Mailing address
11096 LADUKE RD, FREELAND, MI 48623-9010
(989) 798-2360
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704314318
MI
Other
Enumeration date
08/13/2020
Last updated
04/08/2021
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