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1477094332
MICHAEL POULSEN
MISHAWAKA, IN
NPI
1477094332
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IN 71007577A)
Enumeration Date
2017-03-13
Last Update Date
2024-03-27
Business Address
Mr. MICHAEL POULSEN R.N.
5215 HOLY CROSS PKWY
MISHAWAKA, IN 46545-1469
Phone number: 574-335-5000
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Mailing Address
Mr. MICHAEL POULSEN R.N.
707 CEDAR ST STE 405
SOUTH BEND, IN 46617-2059
Phone number: 574-335-8707
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