MICHAEL POULSEN

MISHAWAKA, IN
NPI1477094332
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IN  71007577A)
Enumeration Date2017-03-13
Last Update Date2024-03-27
Business Address
Mr. MICHAEL POULSEN R.N.
5215 HOLY CROSS PKWY
MISHAWAKA, IN 46545-1469
Phone number: 574-335-5000
Mailing Address
Mr. MICHAEL POULSEN R.N.
707 CEDAR ST STE 405
SOUTH BEND, IN 46617-2059
Phone number: 574-335-8707