Individual
MAE WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2496 WICKHAM DR, MUSKEGON, MI 49441-3150
(231) 327-6533
Mailing address
1853 R W BERENDS DR SW, WYOMING, MI 49519-4955
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704276020
MI
Other
Enumeration date
01/28/2025
Last updated
01/28/2025
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