KELLI LYNNE VIRGIN

WARREN, MI
NPI1124464268
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism
(Licence: MI  5101020536)
Additional Taxonomies207R00000X Internal Medicine
(Licence: MI  5101020536)
Enumeration Date2013-05-16
Last Update Date2019-10-03
Business Address
KELLI LYNNE VIRGIN D.O.
11855 E 12 MILE RD STE 400
WARREN, MI 48093-3471
Phone number: 586-586-6630
Mailing Address
KELLI LYNNE VIRGIN D.O.
500 OSBORN BLVD
SAULT SAINTE MARIE, MI 49783-1822
Phone number: 906-253-0113