MAGGIE JANISSE

DETROIT, MI
NPI1659746154
Former NameMAGGIE PALMER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: MI  4704283330)
Enumeration Date2015-12-09
Last Update Date2017-01-30
Business Address
-- MAGGIE JANISSE CNP
4100 JOHN R ST
DETROIT, MI 48201-2013
Phone number: 800-527-6266
Mailing Address
-- MAGGIE JANISSE CNP
1560 E MAPLE RD SUITE 400 - CREDENTIALING
TROY, MI 48083-1138
Phone number: 800-527-6266