MICHAEL JON VERSALLE

PAW PAW, MI
NPI1174821813
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: MI  4704222075)
Enumeration Date2011-03-04
Last Update Date2011-03-04
Business Address
MR. MICHAEL JON VERSALLE R.N.
801 HAZEN STREET SUITE C.
PAW PAW, MI 49079-0249
Phone number: 269-657-5574
Mailing Address
MR. MICHAEL JON VERSALLE R.N.
P.O. BOX 249 801 HAZEN STREET, SUITE C.
PAW PAW, MI 49079-0249
Phone number: 269-657-5574
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