NICOLE SCHANTA RUSINOWSKI

NOVI, MI
NPI1558086819
Former NameNICOLE SCHANTA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: MI  4704321524)
Enumeration Date2022-10-10
Last Update Date2024-04-05
Business Address
NICOLE SCHANTA RUSINOWSKI A-GNP-C
41800 W 11 MILE RD STE 109
NOVI, MI 48375-1818
Phone number: 586-524-5968
Mailing Address
NICOLE SCHANTA RUSINOWSKI A-GNP-C
1319 S WASHINGTON AVE
ROYAL OAK, MI 48067-3200
Phone number: 586-524-5968
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